Active NPI
Raymond Lee Hunsucker III, D.O.
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.146061
- Practice address
- 2701 W 68TH St
Chicago, IL 60629 - Phone
- (773) 884-9000
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OT015624 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT015624 | PA | |
| Emergency Medicine Physician | 207P00000X | 036.146061 | IL | Primary |
Addresses
Primary practice location
2701 W 68TH St
Chicago, IL 60629
Mailing address
2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240
Hospital & facility affiliations
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.146061 | IL | MD | Emergency Medicine Physician |
| OT015624 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Rush Oak Park ER Physicians Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Rush University Medical Group | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
75 Remittance Dr
Dept 1611
Chicago, IL 60675
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1620
Chicago, IL 60675
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
Interoperability endpoints
- rhunsucker183454@direct.rush.rush-health.com
Organizations & group practices 6
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Oak Park, IL
- NPI 1447260880
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Emergency Medicine
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1518415751
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1558774414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 W 68TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291813",
"telephone_number": "773-884-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 68TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60629",
"telephone_number": "773-884-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSUCKER",
"first_name": "RAYMOND",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OT015624",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT015624",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.146061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.