Individual provider Active NPI

David Raminski, D.O.

  • Urology Physician
  • Orland Park, IL
National Provider Identifier
1659399970
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036073768 Issued in IL
Practice address
16632 S 107TH CT
Orland Park, IL 60467
Phone
(708) 349-6350
Fax
(708) 349-9153
NPI assigned
Jul 17, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036073768 IL Primary

Addresses

Primary practice location

16632 S 107TH CT
Orland Park, IL 60467

Mailing address

16632 S 107TH CT
Orland Park, IL 60467
Phone (708) 349-6350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidraminski@uropart.allscriptsdirect.net

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
I20041115001180 IL Practitioner - Urology 1355305889

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Shockwave Services, LTD. CurrentSince Jul 1, 1999 Accepting new patients
United Shockwave Services, LTD. Urology Current Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Jul 1, 1999 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

15234 S Harlem Ave
Orland Park, IL 60462
Phone (708) 532-6500

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1659399970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16632 S 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-349-6350",
            "fax_number": "708-349-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16632 S 107TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60467",
            "telephone_number": "708-349-6350",
            "fax_number": "708-349-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMINSKI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036073768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidraminski@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "16632 S 107th CT",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.