ROSELAND COMMUNITY HOSPITAL ASSOCIATION
ROSELAND COMMUNITY HOSPITAL ASSOCIATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1306029889, based in Chicago, IL. The organization lists 13 taxonomy classifications, with Obstetrics & Gynecology Physician recorded as primary.
Getting there
The practice address on file is 45 W 111TH ST, Chicago, IL 60628. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036117915 | IL | Surgery Physician |
This provider holds licence 036117915 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8325936644
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Obstetrics & Gynecology covers
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
All registered taxonomy codes
This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology Physician | — | — | primary |
| 207L00000X | Anesthesiology Physician | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 207RR0500X | Rheumatology Physician Rheumatology | — | — | |
| 2080N0001X | Neonatal-Perinatal Medicine Physician Neonatal-Perinatal Medicine | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Undersea and Hyperbaric Medicine | — | — | |
| 2084P0804X | Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | — | — | |
| 208600000X | Surgery Physician | 036117915 | IL | |
| 208D00000X | General Practice Physician | — | — | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1306029889 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 7, 2007 |
| Last updated | Feb 29, 2024 |
| Status | Active |
| Practice address |
45 W 111TH ST Chicago, IL 60628 (773) 995-3000 Fax (773) 995-6602 |
| Other identifiers |
01622034
· BCBS 01622034 · BLUE SHIELD (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 0 | 6 | 0 | 2 | 9 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 0 | 6 | 0 | 2 | 9 | 8 | 7 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.