Individual provider Active NPI

Rubinder Kaur Malczewski, M.D.

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1679860605
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125.060545 Issued in IL
Practice address
2020 Ogden Ave
Suite 325
Aurora, IL 60504-5894
Phone
(630) 978-4850
Fax
(630) 978-6865
NPI assigned
Jun 28, 2011
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.060545 IL Primary

Addresses

Primary practice location

2020 Ogden Ave
Suite 325
Aurora, IL 60504-5894

Mailing address

1017 W Glen Oaks LN Ste 203
Mequon, WI 53092-3376
Phone (262) 420-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150730011684 WI Practitioner - Family Practice 1254654288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.060545ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Support Plus Personal Care CurrentSince Sep 10, 2023 Accepting new patients

Locations

1017 W Glen Oaks Ln
Ste 203
Mequon, WI 53092
Phone (262) 420-4008

Interoperability endpoints

  • Direct secure messaging: rmalczewski150801@direct.myadvocateaurora.org

Organizations & group practices 1

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1679860605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W GLEN OAKS LN STE 203",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923376",
            "telephone_number": "262-420-4008",
            "fax_number": "262-236-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "SUITE 325",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-978-4850",
            "fax_number": "630-978-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCZEWSKI",
        "first_name": "RUBINDER",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.060545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.