Individual provider Active NPI

Scott J. Rusco, D.O.

  • Family Medicine Physician
  • Oak Forest, IL
National Provider Identifier
1023050150
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
6360 159TH St
Suites D& E
Oak Forest, IL 60452-2725
Phone
(708) 535-6204
Fax
(708) 535-6431
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

6360 159TH St
Suites D& E
Oak Forest, IL 60452-2725

Mailing address

6360 159TH St
Suites D&E
Oak Forest, IL 60452-2725
Phone (708) 535-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000700 IL Practitioner - Family Practice 6204882756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6360 W 159TH St D
Oak Forest, IL 60452-2781
Phone (708) 535-6204

Hospital & facility affiliations

  • Medic Home Health Care, LLC Home health agency, Bolingbrook, IL, CCN 148278
  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
  • Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
81.03 of 100Reported as individual
Quality
75.73
Improvement activities
40
Cost
69.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-081379ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott J. Rusco D.O. Inc Family Medicine CurrentSince Apr 1, 2001 Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients

Locations

6360 159th St
Ste D
Oak Forest, IL 60452
Phone (708) 535-6204

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1023050150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 159TH ST",
            "address_2": "SUITES D&E",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522725",
            "telephone_number": "708-535-6204",
            "fax_number": "708-535-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 159TH ST",
            "address_2": "SUITES D& E",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522725",
            "telephone_number": "708-535-6204",
            "fax_number": "708-535-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCO",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.