Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881891471 Individual Practitioner Male Practitioner

Dr. Derrick E Rollo , DO

Pediatrics • Urbana, IL

Professional Overview & Biography Verified Profile Summary

Dr. Derrick Rollo, DO is a registered healthcare professional specializing in Pediatrics in Urbana, IL. Practice services are available at 611 W PARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

611 W Park St

Urbana, IL 618012529

Telephone 2173833311
Fax 2173833463
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Urbana, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
35 Specialists

Practicing in Urbana, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036122306

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125-051736

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License IN 02004004A

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201060370 (IN)
Commercial Insurance / Payer ID Anthem Provider Number
000000761884 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003362153

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Kendall Wallace , APRN

Nurse Practitioner - Family

NPI 1003391061

Advanced Practice Registered Nurse

Anne Fahnestock , PT

Physical Therapist

NPI 1003436742

Physical Therapist

Dr. Robert Kirby , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003836503

Doctor of Medicine (M.D.)

Samih Barcham

Family Medicine

NPI 1013327303
Hannah Johnson , AGACNP

Nurse Practitioner - Critical Care Medicine

NPI 1013620376

Adult-Gerontology Acute Care Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2015

Registered at 611 W PARK ST, URBANA, IL 618012529 (Tel: 2173833311)

📍
Updated Business Mailing Address September 29, 2015

Registered at 611 W PARK ST, BWPC, URBANA, IL 618012529 (Tel: 2173836792)

👤
Provider Name / Credentials Updated September 29, 2015

Recorded as DERRICK ROLLO, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2015

Pediatrics (License #036122306 in IL)

🟢
Initial NPI Registration & Enumeration June 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881891471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2007
Last Update: January 19, 2021
Sole Proprietor: No

Mailing Address

611 W Park St, Bwpc

Urbana, IL 618012529

Phone: 2173836792

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.