| Shadi Marina, MD | |
|
1401 E State St, Rockford, IL 61104-2315 | |
| (815) 968-4400 | |
| Not Available |
| Full Name | Shadi Marina |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 23 Years |
| Location | 1401 E State St, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972764041 | NPI | - | NPPES |
| JWA402M64951 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | FM1299038 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Rochelle Community Hospital | Rochelle, IL | Hospital |
| St Alexius Medical Center | Hoffman estates, IL | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Consultants Inc | 1456660323 | 4 |
| Cook Physician Services, P.c. | 4082053434 | 39 |
| Rochelle Community Hospital Association | 4789581828 | 30 |
| Freeport Memorial Hospital | 8426958232 | 101 |
| Rockford Hospitalist Group Llc | 9830559491 | 39 |
| Premier Health Consultants Inc | 1456660323 | 4 |
| Entity Name | Inpatient Consultants Of Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003850843 PECOS PAC ID: 9537064316 Enrollment ID: O20031204000698 |
| Entity Name | Rochelle Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568518322 PECOS PAC ID: 4789581828 Enrollment ID: O20031216000867 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Cogent Healthcare Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487897849 PECOS PAC ID: 6507981008 Enrollment ID: O20100920001157 |
| Entity Name | Sound Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
| Entity Name | Premier Health Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205202009 PECOS PAC ID: 1456660323 Enrollment ID: O20151015000149 |
| Entity Name | Hospitalist Medicine Physicians Of Illinois - Rockford, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790263325 PECOS PAC ID: 7315297785 Enrollment ID: O20180905002458 |
| Entity Name | Insight Chicago Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
| Entity Name | Rockford Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750088852 PECOS PAC ID: 9830559491 Enrollment ID: O20230714002271 |
| Entity Name | Cook Physician Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487416376 PECOS PAC ID: 4082053434 Enrollment ID: O20240417003107 |
| Mailing Address | Practice Location Address |
|---|---|
| Shadi Marina, MD 6526 Spring Brook Rd Apt 306, Rockford, IL 61114-8130 Ph: (847) 708-5156 | Shadi Marina, MD 1401 E State St, Rockford, IL 61104-2315 Ph: (815) 968-4400 |
Dr. Adekola Abioudun Ashaye, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Prasad K. Kilaru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
David R. Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Dr. Amrutha Mary George, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Rajyalaxmi Mullapudi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Geoffrey Tsaras, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410 | |
Ashley Annly Liou, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-397-7212 Fax: 815-397-2539 |