Individual provider Active NPI

Rian J Rowles, D.O.

  • Psychiatry Physician
  • Orland Park, IL
National Provider Identifier
1447398870
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036110437 Issued in IL
Practice address
14315 108TH Ave Ste 215
Orland Park, IL 60467-5701
Phone
(708) 966-0993
NPI assigned
Feb 1, 2007
Last updated
Jun 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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 036110437 IL Primary

Addresses

Primary practice location

14315 108TH Ave Ste 215
Orland Park, IL 60467-5701

Mailing address

14315 108TH Ave Ste 215
Orland Park, IL 60467-5701
Phone (708) 966-0993

Other identifiers 1

IdentifierTypeStateIssuer
036110437MedicaidIL

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
I20050608000454 IL Practitioner - Psychiatry 5799728945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute of Neurobehavior Services SCGroup PAC ID 7618107608, 9 clinicians
Beth Ledvora MD SCGroup PAC ID 4587898754, 7 clinicians

Practice addresses (Care Compare)

14315 S 108TH Ave
Suite 215
Orland Park, IL 60462-5701
Phone (708) 586-9751

7808 W College Dr
Suite 2
Palos Heights, IL 60463-1027
Phone (708) 361-5110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036110437ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Ledvora M.D. S.C. Psychiatry CurrentSince Nov 1, 2013 Accepting new patients
Institute of Neurobehavior Services SC Psychiatry CurrentSince Jan 1, 2014 Accepting new patients
The McGrath Clinic PastSince Jul 1, 2005 Accepting new patients

Locations

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

14315 108th Ave
Ste 215
Orland Park, IL 60467
Phone (708) 586-9751

7808 W College Dr
Ste 2
Palos Heights, IL 60463
Phone (708) 361-5110

7808 W College Dr
Ste 2W
Palos Heights, IL 60463
Phone (708) 361-5110

Organizations & group practices 3

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1447398870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 215",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-966-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 108TH AVE STE 215",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675701",
            "telephone_number": "708-966-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLES",
        "first_name": "RIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036110437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110437",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.