Individual provider Active NPI

Rupinder Grewal

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1689136392
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036165171 Issued in IL
Practice address
1500 W Chicago Ave Unit 2
Chicago, IL 60642-5236
Phone
(773) 570-4220
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 036165171 IL Primary

Addresses

Primary practice location

1500 W Chicago Ave Unit 2
Chicago, IL 60642-5236

Mailing address

1500 W Chicago Ave Unit 2
Chicago, IL 60642-5236

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
I20230906003623 IL Practitioner - Psychiatry 8729317789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

1500 W Chicago Ave
Unit 2
Chicago, IL 60642-5236
Phone (773) 570-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036165171ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Psychiatric Medical Services, S.C. Psychiatry CurrentSince Aug 22, 2023 Accepting new patients

Locations

3223 N Sheffield Ave
Ste C
Chicago, IL 60657
Phone (630) 755-5276

1500 W Chicago Ave
Unit 2
Chicago, IL 60642
Phone (773) 570-4220

98 Miller Dr
Ste 103
North Aurora, IL 60542
Phone (630) 506-6615

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

2455 Dean St
Unit H
St Charles, IL 60175
Phone (630) 839-9196

Interoperability endpoints

  • Direct secure messaging: rupinder.grewal.1@25899.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689136392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W CHICAGO AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W CHICAGO AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-570-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "RUPINDER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036165171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.