MICHAEL ROBERTSON MD NPI 1093717027

NPI Information

  • NPI: 1093717027
  • Provider Name: MICHAEL ROBERTSON, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 612 ROXBURY RD
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 227-8300

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NPI Details

Michael Robertson, MD is a nephrology internal medicine in Rockford, IL with 25 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Michael Robertson, MD NPI is 1093717027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2000

The provider's business location address is:

612 ROXBURY RD
ROCKFORD, IL
ZIP 61107-089
Phone: (815) 227-8300
Fax: (815) 227-8301

The NPI 1093717027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)
  • Home dialysis services per month (20 years or older) (HCPCS:90966)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 4/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology036108880ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I26013MEDICARE UPINILLINOIS
2K51148MEDICARE PINILLINOIS
3K18005MEDICARE PINILLINOIS
4$$$$$$$$$MEDICAIDILLINOIS
5CK5424MEDICARE PINILLINOIS
61616108OTHERILLINOISBCBS
7211215MEDICARE PINILLINOIS
835332700MEDICAIDWISCONSIN
9P00228774MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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