Individual provider Active NPI

Ruth E Moncayo

  • Anesthesiology Physician
  • Maywood, IL
National Provider Identifier
1619902020
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036091519 Issued in IL
Practice address
2160 S First Ave
(BLDG. 103, RM.3102)
Maywood, IL 60153
Phone
(708) 216-6462
Fax
(708) 216-1249
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036091519 IL Primary

Addresses

Primary practice location

2160 S First Ave
(BLDG. 103, RM.3102)
Maywood, IL 60153

Mailing address

2160 S First Ave
(BLDG. 103, RM.3102)
Maywood, IL 60153
Phone (708) 216-6462

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmoncayo@direct.ccprovider.org Direct Cook County

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000458 IL Practitioner - Anesthesiology 3274531868 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091519ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Apr 26, 2021 Accepting new patients
Windy City Anesthesia PC CurrentSince Apr 1, 2015 Accepting new patients
Cook County Current Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC Anesthesiology CurrentSince Feb 25, 2018 Accepting new patients
Cook County Anesthesiology CurrentSince Apr 30, 2017 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59, LLC CurrentSince May 1, 2022 Accepting new patients
Cook County CurrentSince Apr 30, 2017 Accepting new patients
Windy City Anesthesia PC Anesthesiology CurrentSince Apr 1, 2015 Accepting new patients
KND Development 59 LLC CurrentSince May 1, 2022 Accepting new patients
Loyola University Physician Foundation Past Accepting new patients

Locations

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

6860 N Frontage Rd
Burr Ridge, IL 60527
Phone (331) 210-9210

3412 W Fullerton Ave
Chicago, IL 60647
Phone (773) 235-8000

355 E Grand Ave
Chicago, IL 60611
Phone (312) 587-3432

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

10444 S Western Ave
Ste A
Chicago, IL 60643
Phone (773) 238-1126

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

10400 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 423-8706

900 Rand Rd
Des Plaines, IL 60016
Phone (847) 324-9676

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

5851 W 95th St
Oak Lawn, IL 60453
Phone (708) 574-6143

14290 S La Grange Rd
Ste 2202
Orland Park, IL 60462
Phone (773) 834-8655

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

Interoperability endpoints

  • Direct secure messaging: rmoncayo@direct.ccprovider.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 and National Provider Directory roles.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1619902020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(BLDG. 103, RM.3102)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-6462",
            "fax_number": "708-216-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(BLDG. 103, RM.3102)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-6462",
            "fax_number": "708-216-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCAYO",
        "first_name": "RUTH",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036091519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoncayo@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.