BELOIT HEALTH SYSTEM INC — NPI 1194918490 (Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) in ROSCOE, IL)

CMS-1500 Box 24J / 33a • NPI

1194918490

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207Q00000X (CMS 08)

Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)

Box 32 Service Location & ZIP+4

5605 E ROCKTON RD, ROSCOE, IL, 61073-7601

✓ 9-Digit EDI 837 ZIP+4 (61073-7601)

Practice Phone & Referral Fax

(608) 364-5123

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194918490 (BELOIT HEALTH SYSTEM INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194918490` (NPI-2 Organization / Facility)
Provider / Legal Name	BELOIT HEALTH SYSTEM INC
Plain-English Specialty	Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) NUCC Code: `207Q00000X` (Family Medicine)
Certifying / Licensing Body	American Board of Family Medicine (ABFM)
Practice Location Address	5605 E ROCKTON RD, ROSCOE, IL, 61073-7601
Practice Telephone / Fax	Tel: (608) 364-5123
Administrative Mailing Address	1905 E HUEBBE PKWY, BELOIT, WI, 53511-2230
Enumeration & Last Sync	Enumerated: 2007-08-21 \| CMS Record Updated: 2025-03-18
Authorized Official	JULIA EGEBRECHT (Director, Revenue Cycle)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5605 E ROCKTON RD, ROSCOE, IL, 61073-7601

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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BELOIT HEALTH SYSTEM INC)

Typical CPT / Diagnostic Procedures:

Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)

Common Therapeutic Classes:

Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`207QG0300X` — Family Medicine, Geriatric Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RG0300X` — Internal Medicine, Geriatric Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207X00000X` — Orthopaedic Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`2085B0100X` — Radiology, Body Imaging Plain English: Licensed & Credentialed Radiology, Body Imaging	State: N/A \| License: `Verified` \| Primary: Secondary
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QS0132X` — Clinic/Center, Ophthalmologic Surgery Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary

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BELOIT HEALTH SYSTEM INC (NPI #1194918490)