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NORTHERN ILLINOIS RETINA LTD
NPI 1942483664
Ophthalmology - Retina Specialist in Rockford, IL

Active since December 17, 2007
1235 N MULFORD RD, SUITE 100, ROCKFORD, IL 61107(815) 226-4990(815) 226-9472 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northern Illinois Retina Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN ILLINOIS RETINA LTD (NPI 1942483664) is a healthcare organization registered as a retina specialist in Rockford, Illinois and active in the NPI registry since December 2007. The organization lists Susan M Fowell, President, as its authorized official.

NPPES Registry Identity

NPI1942483664
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameNORTHERN ILLINOIS RETINA LTD
Location Address1235 N MULFORD RD, SUITE 100Rockford, IL 61107-3879
Mailing Address1235 N Mulford Rd, Suite 100Rockford, IL 61107-3879 · (815) 226-4990 · Fax (815) 226-9472
Phone(815) 226-4990
Fax(815) 226-9472
Organization SubpartNo
Authorized OfficialSusan M FowellPresident · (815) 226-4990
Enumeration DateDecember 17, 2007
Last NPPES UpdateJuly 6, 2017
✔ NPI 1942483664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in IL · 036073359
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 042006794 (IL)
1235 N MULFORD RD, Rockford, IL 61107
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN363811IL
Other1942483664IL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Illinois Retina Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northern Illinois Retina Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Fowell, MD
Ophthalmology
NPI 1821091075
1235 N MULFORD RD SUITE 100
Rockford, IL 61107
(815) 226-4990
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Illinois Retina Ltd's NPI number?

The NPI number for Northern Illinois Retina Ltd is 1942483664. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Northern Illinois Retina Ltd located?

Northern Illinois Retina Ltd is located at 1235 N Mulford Rd Suite 100, Rockford, IL 61107. The listed phone number is (815) 226-4990.

What is Northern Illinois Retina Ltd's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Northern Illinois Retina Ltd enrolled in Medicare?

Yes. Northern Illinois Retina Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Illinois Retina Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Northern Illinois Retina Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northern Illinois Retina Ltd accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MercyCare Health Plans list Northern Illinois Retina Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Illinois Retina Ltd was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.