Alfredo Estevan Rumilla II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-095178 Issued in IL

Practice address

2554 W Fullerton Ave
Chicago, IL 60647-3148

Phone

(773) 342-8888

Fax

(773) 342-6257

NPI assigned

Oct 20, 2006

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994

Medicare assignment

May accept Medicare assignment

Group practices

Medico PLLCGroup PAC ID 9830508951, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHJDCD/Endpoint/HHJDCD

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

• Medico PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1225613219
  Medicare reassignment Care Compare group NPD
• Aer Medical

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Chicago, IL
  • NPI 1568683480
  NPD Authorized official
• Ultrasound Mobile Service, LTD

  • Diagnostic Ultrasound Physician
  • Deerfield, IL
  • NPI 1801975602
  NPD
• Zafra B Medical & Wellness Center LLC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1679113534
  NPD (past)

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

• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1063594554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473148",
            "telephone_number": "773-687-9490",
            "fax_number": "773-687-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473148",
            "telephone_number": "773-342-8888",
            "fax_number": "773-342-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMILLA",
        "first_name": "ALFREDO",
        "middle_name": "ESTEVAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-095178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BLUE CROSS/BLUE",
            "identifier": "0021623247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Duane Ruland
• Erin Rule-Miller, CTRS
• Rodneisha Rule
• Kranti Rumala
• Joseph Charles Rumenapp, MD
• George Rumman, MD, DDS
• Dino Peter Rumoro, D.O.
• Alexandria Sky Rump, LSW
• Camille-Macie Brown Rumph, PA-C
• Nanette Rumsey, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.