Individual provider Active NPI

Rumya Rao, MD

  • Retina Specialist (Ophthalmology) Physician
  • Niles, IL
National Provider Identifier
1073657474
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036128385 Issued in IL
Practice address
8780 W. Golf Road #304
Niles, IL 60714
Phone
(847) 297-8900
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME107363 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X 036128385 IL Primary

Addresses

Primary practice location

8780 W. Golf Road #304
Niles, IL 60714

Mailing address

8780 W. Golf Road #304
Niles, IL 60714
Phone (847) 297-8900

Other practice location 1

820 E Terra Cotta Ave Ste 247
Crystal Lake, IL 60014-3655
Phone (815) 788-1000

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
I20110912000493 IL Practitioner - Ophthalmology 4587857321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Institute of Illinois PCGroup PAC ID 1153320973, 9 clinicians

Practice addresses (Care Compare)

2326 W Foster Ave
Suite 100
Chicago, IL 60625-1826
Phone (773) 784-9400

820 E Terra Cotta Ave
Suite 247
Crystal Lake, IL 60014-3655
Phone (815) 788-1000

8780 W Golf Rd
Suite 304
Niles, IL 60714-5611
Phone (847) 297-8900

Merit-based Incentive Payment System (MIPS)

Final score
99.44 of 100Reported as group
Quality
97.34
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036128385ILMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Illinois PC Ophthalmology CurrentSince Jul 21, 2011 Accepting new patients

Locations

2326 W Foster Ave
Ste 100
Chicago, IL 60625
Phone (773) 784-9400

2326 W Foster Ave
Chicago, IL 60625

820 E Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 444-1330

820 E Terra Cotta Ave
Ste 247
Crystal Lake, IL 60014
Phone (815) 788-1000

36100 N Brookside Dr
Ste 206
Gurnee, IL 60031
Phone (847) 855-2500

1585 N Barrington Rd
Ste 404
Hoffman Estates, IL 60169
Phone (847) 755-9393

8780 W Golf Rd
Ste 304
Niles, IL 60714
Phone (847) 297-8900

Interoperability endpoints

  • Direct secure messaging: rrao@retinaii.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1073657474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W. GOLF ROAD #304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-297-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 W. GOLF ROAD #304",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-297-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Terra Cotta Ave Ste 247",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143655",
            "country_code": "US",
            "telephone_number": "815-788-1000",
            "fax_number": "815-788-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "RUMYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME107363",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036128385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

Verify at the official NPI Registry.