Dr. Thomas E Root , MD
Specialist • Rockford, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Root has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Root, MD was a registered Specialist practicing in Rockford, IL. Throughout an active medical career spanning 19 years, Dr. Root provided care at the practice location at 129 PHELPS AVE until profile deactivation on 2024-12-26.
Practice Location & Contact Primary Location
129 Phelps Ave
Suite 508
Rockford, IL 611082453
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Rockford, IL
Practicing in Rockford, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 26, 2024
NPI status registered as active in NPPES database
Registered at 129 PHELPS AVE, SUITE 508, ROCKFORD, IL 611082453 (Tel: 8152292300)
Registered at 129 PHELPS AVE, SUITE 508, ROCKFORD, IL 611082453 (Tel: 8152292300)
Recorded as THOMAS ROOT, M.D.
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
129 Phelps Ave, Suite 508
Rockford, IL 611082453
Phone: 8152292300
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