Individual provider Active NPI

Ralph Orland, M.D.

  • Psychiatry Physician
  • Wheaton, IL
National Provider Identifier
1265496681
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036-073482 Issued in IL
Practice address
1725 S Naperville Rd
Suite 206
Wheaton, IL 60187-8155
Phone
(630) 653-6441
Fax
(630) 653-8409
NPI assigned
Apr 13, 2006
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036-073482 IL Primary

Addresses

Primary practice location

1725 S Naperville Rd
Suite 206
Wheaton, IL 60187-8155

Mailing address

1725 S Naperville Rd
Suite 206
Wheaton, IL 60187-8155
Phone (630) 653-6441

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
I20110308000467 IL Practitioner - Psychiatry 4981678596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Clinical ServicesGroup PAC ID 9739153347, 15 clinicians

Practice addresses (Care Compare)

1725 S Naperville Rd
Suite 206
Wheaton, IL 60189-5855
Phone (630) 653-6441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-073482ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Clinical Services CurrentSince Jan 1, 2011 Accepting new patients

Locations

1725 S Naperville Rd
Ste 2
Wheaton, IL 60189

1725 S Naperville Rd
Ste 206
Wheaton, IL 60189
Phone (630) 653-6441

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1265496681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD",
            "address_2": "SUITE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878155",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S NAPERVILLE RD",
            "address_2": "SUITE 206",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878155",
            "telephone_number": "630-653-6441",
            "fax_number": "630-653-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLAND",
        "first_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-073482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.