Active NPI
Ricardo Ruvalcaba, RSA
- Surgical Assistant
- Mokena, IL
National Provider Identifier
1144987181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000700
- Practice address
- 19015 S Jodi Rd Ste H
Mokena, IL 60448-8534 - Phone
- (798) 995-5418
- Fax
- (832) 804-8886
- NPI assigned
- Nov 24, 2021
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238000700 | IL | Primary |
| Surgical Physician Assistant | 363AS0400X | IL |
Addresses
Primary practice location
19015 S Jodi Rd Ste H
Mokena, IL 60448-8534
Mailing address
4015 Dempster Ave
Rockford, IL 61108-3847
Phone (815) 909-1409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruvalcaba Surgical Solutions PLLC | Surgical Assistant | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Assistant
- Rockford, IL
- NPI 1730085333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1144987181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 DEMPSTER AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611083847",
"telephone_number": "815-909-1409",
"fax_number": "815-909-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19015 S JODI RD STE H",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488534",
"telephone_number": "798-995-5418",
"fax_number": "832-804-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUVALCABA",
"first_name": "RICARDO",
"credential": "RSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-24",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000700",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.