ROCKFORD RADIOLOGY ASSOC – NPI #1740247535
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ROCKFORD RADIOLOGY ASSOC is a radiologist located in ROCKFORD, IL. NPPES has assigned the NPI number 1740247535 to ROCKFORD RADIOLOGY ASSOC on April 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Nov 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROCKFORD RADIOLOGY ASSOC below.

NPI Profile for
ROCKFORD RADIOLOGY ASSOC

NPI Number
1740247535
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROCKFORD RADIOLOGY ASSOC
Primary location
5666 E STATE ST
ROCKFORD, IL 61108
Phone: (815) 327-2468 Fax:
1 Other location(s):
403 E 1st St
Dixon, IL 61021-3116
Phone: (815) 285-5972
Mailing address
PO BOX 809025
CHICAGO, IL 60680-9025
Phone: (866) 421-8808 Fax: (855) 344-3003
Organization Subpart
No
Authorized Official
CHARLES AMBELANG
PRESIDENT
Phone: (920) 918-1602
Updated
Certification Date
Nov 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROCKFORD RADIOLOGY ASSOC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI32681000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.