Individual provider Active NPI

Aubri Ann Rush, MD

  • Family Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1497312110
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301507895 Issued in MI
Practice address
135 N Oak St
Hinsdale, IL 60521-3860
Phone
(630) 856-8900
Fax
(630) 856-8958
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Health/Saint Mary'S Medical Group 499 clinicians

Practice addresses (Care Compare)

3925 32ND Ave
Suite 300
Hudsonville, MI 49426-8495
Phone (616) 685-1500

Hospital & facility affiliations

  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220802000885 MI Practitioner - Family Practice 6406284389 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Sep 19, 2022 Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Sep 19, 2022 Accepting new patients
Saint Mary'S Health Services Past Accepting new patients
Advantage Health Saint Mary'S Medical Group Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

3925 32nd Ave
Ste 300
Hudsonville, MI 49426
Phone (616) 685-1500

Interoperability endpoints

  • Direct secure messaging: arush2071946@direct.trinity-health.org

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125073795 IL
Family Medicine Physician 207Q00000X 4301507895 MI Primary

Addresses

Primary practice location

135 N Oak St
Hinsdale, IL 60521-3860

Mailing address

135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1497312110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213860",
            "telephone_number": "630-856-8900",
            "fax_number": "630-856-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213860",
            "telephone_number": "630-856-8900",
            "fax_number": "630-856-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "AUBRI",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125073795",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301507895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.