Individual provider Active NPI

Lauren Kathleen Rutili

  • Emergency Medicine Physician
  • Hobart, IN
National Provider Identifier
1538433438
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02004749A Issued in IN
Practice address
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone
(219) 942-0551
NPI assigned
Feb 24, 2012
Last updated
Jan 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02004749A IN Primary
Emergency Medicine Physician 207P00000X 036.139089 IL

Addresses

Primary practice location

1500 S Lake Park Ave
Hobart, IN 46342-6638

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1177

Other practice location 2

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151223001730 IN Practitioner - Emergency Medicine 6406157049 Reassigns benefits to 5 organizations
I20160610000074 IL Practitioner - Emergency Medicine 6406157049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

3800 Saint Mary Rd
Valparaiso, IN 46383-3986
Phone (219) 286-3700

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1166

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.139089ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Jan 17, 2024 Accepting new patients
Emergency Medicine Physicians of Cook County LLC Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Community Care Network Inc CurrentSince Sep 22, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Clarksville Physician Services PC CurrentSince Jan 17, 2024 Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine CurrentSince Nov 6, 2015 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince May 7, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

7219 Solutions Ctr
Chicago, IL 60677

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

10240 Calumet Ave
Munster, IN 46321
Phone (219) 440-5286

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1451 Morthland Dr
Ste D
Valparaiso, IN 46385
Phone (219) 286-3880

3800 Saint Mary Rd
Valparaiso, IN 46383
Phone (219) 286-3700

Interoperability endpoints

  • Direct secure messaging: lrutili82884@direct.franciscanalliance.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1538433438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-942-0551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9660 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-365-1177",
            "fax_number": "219-703-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTILI",
        "first_name": "LAUREN",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02004749A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.139089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.