Active NPI
Richard L Plummer, MD
- Addiction Medicine (Family Medicine) Physician
- Chicago, IL
National Provider Identifier
1275587727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 036.147372
- Practice address
- Rush University Medical Center
1653 W Congress Parkway
Chicago, IL 60612-3800 - Phone
- (605) 215-2185
- Fax
- (605) 653-3226
- NPI assigned
- May 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10564 | SD | |
| Family Medicine Physician | 207Q00000X | 1119 | SD | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 036.147372 | IL | Primary |
Addresses
Primary practice location
Rush University Medical Center
1653 W Congress Parkway
Chicago, IL 60612-3800
Mailing address
Rush University Medical Center
1653 W Congress Parkway
Chicago, IL 60612-3800
Phone (605) 215-2185
Other practice location 1
1905 W 57th St Ste 1
Sioux Falls, SD 57108-2893
Phone (605) 310-2000
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3971770 | Medicaid | IA | |
| 882068600 | Medicaid | MN | |
| 1256 | Other | SD | AVERA |
| 1565 | Other | SD | MIDLANDS CHOICE |
| 5602648 | Medicaid | SD | |
| 1119 | Other | SD | DAKOTACARE |
| AH1801016438 | Other | SD | PREFERRED ONE |
| 28190 | Other | SD | SANFORD HEALTH PLANS |
| 4993464 | Other | SD | BLUE CROSS BLUE SHIELD |
| P00397642 | Other | SD | RAILROAD MEDICARE |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1119 | SD | MD | Family Medicine Physician |
| 036.147372 | IL | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Physicians P C | Past | Accepting new patients | |
| Sioux Falls Primary Care Services PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1255408977
-
- General Practice Physician
- Sioux Falls, SD
- NPI 1831110949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1275587727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RUSH UNIVERSITY MEDICAL CENTER",
"address_2": "1653 W CONGRESS PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123800",
"telephone_number": "605-215-2185",
"fax_number": "605-653-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RUSH UNIVERSITY MEDICAL CENTER",
"address_2": "1653 W CONGRESS PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123800",
"telephone_number": "605-215-2185",
"fax_number": "605-653-3226"
}
],
"practiceLocations": [
{
"address_1": "1905 W 57th St Ste 1",
"address_purpose": "LOCATION",
"city": "Sioux Falls",
"state": "SD",
"postal_code": "571082893",
"country_code": "US",
"telephone_number": "605-310-2000",
"fax_number": "605-271-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLUMMER",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "10564",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "1119",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "IL",
"license": "036.147372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3971770",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882068600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA",
"identifier": "1256",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "1565",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5602648",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "1119",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "AH1801016438",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLANS",
"identifier": "28190",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4993464",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00397642",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.