Active NPI
Magdalena M Rutkowski, MD
- Family Medicine Physician
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036133160
- Practice address
- 13900 W National Ave
New Berlin, WI 53151-9515 - Phone
- (262) 928-4500
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- 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 | 036133160 | IL | Primary |
| Family Medicine Physician | 207Q00000X | 65365 | WI | |
| Family Medicine Physician | 207Q00000X | MD226283 | OR |
Addresses
Primary practice location
13900 W National Ave
New Berlin, WI 53151-9515
Mailing address
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
Other practice location 1
390 9th St
Florence, OR 97439-9470
Phone (541) 997-7134
Other practice location 2
150 N River Rd Ste 110
Des Plaines, IL 60016-1272
Phone (847) 342-8956
Other practice location 3
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrutkowski20714@ce-direct.presencehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1535 Lake Cook Rd
Suite 406
Northbrook, IL 60062-1453
Phone (847) 559-7702
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036133160 | IL | MD | Family Medicine Physician |
| MD226283 | OR | MD | Family Medicine Physician |
| 65365 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Comprehensive Wound Care, LLC. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
1535 Lake Cook Rd
Ste 406
Northbrook, IL 60062
Phone (847) 559-7702
400 9th St
Florence, OR 97439
Phone (541) 997-8412
390 9th St
Florence, OR 97439
Phone (541) 997-7134
Interoperability endpoints
- mrutkowski20714@ce-direct.presencehealth.org
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.
-
- Surgery Physician
- Northbrook, IL
- NPI 1316254113
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
-
- Multi-Specialty Clinic/Center
- Florence, OR
- NPI 1982774378
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- Home Health Agency
- Northfield, IL
- NPI 1366439655
-
- Home Health Agency
- Northbrook, IL
- NPI 1417258922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1487960019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13900 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531519515",
"telephone_number": "262-928-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13900 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531519515",
"telephone_number": "262-928-4500"
}
],
"practiceLocations": [
{
"address_1": "390 9th St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "OR",
"postal_code": "974399470",
"country_code": "US",
"telephone_number": "541-997-7134",
"fax_number": "541-902-7528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150 N River Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Des Plaines",
"state": "IL",
"postal_code": "600161272",
"country_code": "US",
"telephone_number": "847-342-8956",
"fax_number": "847-342-8958",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUTKOWSKI",
"first_name": "MAGDALENA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036133160",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "65365",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD226283",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrutkowski20714@ce-direct.presencehealth.org",
"affiliation": "N",
"address_1": "150 N River Rd Ste 110",
"city": "Des Plaines",
"state": "IL",
"country_code": "US",
"postal_code": "600161272",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.