Active NPI
Lauren Kathleen Rutili
- Emergency Medicine Physician
- Hobart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02004749A
- Practice address
- 1500 S Lake Park Ave
Hobart, IN 46342-6638 - Phone
- (219) 942-0551
- NPI assigned
- Feb 24, 2012
- Last updated
- Jan 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- 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
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.139089 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Community Care Network Inc | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Clarksville Physician Services PC | Current | Accepting new patients | |
| Lafayette Emergency Care, P.C. | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
-
- Internal Medicine Physician
- Corydon, IN
- NPI 1811629546
-
dba Indiana Emergency Care
- Emergency Medicine Physician
- Lafayette, IN
- NPI 1861447211
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Olympia Fields, IL
- NPI 1114168929
-
- Emergency Medicine Physician
- Valparaiso, IN
- NPI 1508683400
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1518415751
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.