Innovamed Veins Sc
NPI 1063652873 · Internal Medicine Physician · Rockford, IL
Innovamed Veins Sc is a Internal Medicine Physician organization in Rockford, IL (NPI 1063652873).
Provider details
- NPI number
- 1063652873
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Brito, Owner(815) 987-1802
- License
- 036074111 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-03-06
- Last updated
- 2009-06-04
Frequently asked questions
- What is Innovamed Veins Sc's NPI number?
- Innovamed Veins Sc's National Provider Identifier (NPI) is 1063652873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovamed Veins Sc?
- Innovamed Veins Sc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Innovamed Veins Sc located?
- Innovamed Veins Sc's practice location on file with NPPES is 2601 N Main St, Rockford, IL 61103-3110.
- What is Innovamed Veins Sc's phone number?
- The practice phone number listed in the NPPES registry for Innovamed Veins Sc is (815) 987-1802.
- Who is the authorized official for Innovamed Veins Sc?
- The authorized official listed on Innovamed Veins Sc's NPPES record is Tracy Brito, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovamed Veins Sc's NPI active?
- Yes — Innovamed Veins Sc's NPI (1063652873) is active in the NPPES registry as of the last update on 2009-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.