Individual provider Active NPI

Katie Genevieve Dcruz, AGNP-C

  • Gerontology Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1124412168
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
209012527 Issued in IL
Practice address
332 S Michigan Ave
Chicago, IL 60604-4434
Phone
(855) 229-2191
Fax
(312) 579-0467
NPI assigned
Mar 27, 2015
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2024044706 MO
Gerontology Nurse Practitioner 363LG0600X 209012527 IL Primary

Addresses

Primary practice location

332 S Michigan Ave
Chicago, IL 60604-4434

Mailing address

13900 Riverport Dr
Maryland Heights, MO 63043-4804
Phone (855) 229-2177

Other practice location 1

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931
Phone (855) 229-2177

Other names 1

  • Katie Genevieve Rahoi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150724010096 IL Practitioner - Nurse Practitioner 0941513642 Reassigns benefits to 1 organization
I20241211004332 MO Practitioner - Nurse Practitioner 0941513642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Practice PLLCGroup PAC ID 4880137850, 16 clinicians

Practice addresses (Care Compare)

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (855) 229-2191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209012527ILMDGerontology Nurse Practitioner
2024044706MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Illinois CurrentSince Jan 31, 2018 Accepting new patients
Lutheran Social Services of Illinois CurrentSince Jan 31, 2018 Accepting new patients
Cardiac Vision LLC CurrentSince Nov 1, 2016 Accepting new patients
Clear Practice PLLC CurrentSince Sep 1, 2024 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Jun 2, 2019 Accepting new patients
Mohammad Siddiqui MD LTD CurrentSince Jul 12, 2016 Accepting new patients
Mohammad Siddiqui PastSince Jul 12, 2016 Accepting new patients

Locations

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800

5215 N California Ave
Ste F101
Chicago, IL 60625
Phone (773) 561-5809

1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422

9669 Kenton Ave
Ste 203
Skokie, IL 60076
Phone (847) 677-0212

9669 Kenton Ave
Ste 305
Skokie, IL 60076
Phone (847) 679-6333

13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700

13900 Riverport Dr
Ste 101
Maryland Heights, MO 63043

7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800

2975 Regent Blvd
#201
Irving, TX 75063

Interoperability endpoints

  • Direct secure messaging: katie.dcruz@768220391342084.direct.elationemr.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1124412168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434804",
            "telephone_number": "855-229-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044434",
            "telephone_number": "855-229-2191",
            "fax_number": "312-579-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Bonhomme Ave Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631051931",
            "country_code": "US",
            "telephone_number": "855-229-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DCRUZ",
        "first_name": "KATIE",
        "middle_name": "GENEVIEVE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2024044706",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209012527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "RAHOI",
            "middle_name": "GENEVIEVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.