Individual provider Active NPI

Rita Woods, MD

  • Internal Medicine Physician
  • Mokena, IL
National Provider Identifier
1235136268
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036070390 Issued in IL
Practice address
10844 187TH St
Mokena, IL 60448-7759
Phone
(708) 326-6270
Fax
(708) 995-5417
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036070390 IL Primary

Addresses

Primary practice location

10844 187TH St
Mokena, IL 60448-7759

Mailing address

10844 187TH St
Mokena, IL 60448-7759
Phone (708) 326-6270

Other identifiers 1

IdentifierTypeStateIssuer
336-034285MedicaidIL

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
I20200619000143 IL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4183635139

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterton Physical Therapy IncGroup PAC ID 3173683984, 191 clinicians

Practice addresses (Care Compare)

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MH Health Care Services, PC Single Specialty CurrentSince May 17, 2020 Accepting new patients
WSW Health Partners Inc Single Specialty PastSince Sep 1, 2006 Accepting new patients
Mindcare Physical Medicine & Rehab Clinic, Inc. Single Specialty Past Accepting new patients

Locations

10844 187th St
Mokena, IL 60448
Phone (708) 326-6270

Organizations & group practices 4

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1235136268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10844 187TH ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487759",
            "telephone_number": "708-326-6270",
            "fax_number": "708-995-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10844 187TH ST",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487759",
            "telephone_number": "708-326-6270",
            "fax_number": "708-995-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "RITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036070390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336-034285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.