David Aaron Rebuck, M.D.
Individual provider Active NPI Urology Physician · Park Ridge, IL
NPI 1689809808 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1689809808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036.122111 (IL)
- Practice address
- 350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262 - Phone
- (847) 470-1500
- Fax
- (847) 470-1550
- NPI assigned
- May 18, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Uropartners LLC
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
2235 Enterprise Dr
Suite 3510
Westchester, IL 60154-5806
Phone (847) 957-4670
2600 Patriot Blvd
J
Glenview, IL 60026-8024
Phone (224) 260-3100
350 S Northwest Hwy
Suite 106
Park Ridge, IL 60068-4262
Phone (847) 470-1500
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Hospital & facility affiliations
- Amita Health Resurrection Medical Center
- Advocate Lutheran General Hospital
- Northwest Community Hospital 1
- Northwestern Medicine Central Dupage Hospital
- Alexian Brothers Medical Center 1
- Holy Family Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110721000510 | IL | Practitioner - Urology | 3870761646 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.122111 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Shockwave Services, LTD. | Current |
Accepting new patients | |
| United Shockwave Services, LTD. | Urology | Current |
Accepting new patients |
| Mount Sinai Community Foundation | Current |
Accepting new patients | |
| Uropartners, LLC | Urology | Current | Accepting new patients |
| Uropartners, LLC | Urology | Current |
Accepting new patients |
| Uropartners, LLC | Urology | Current | Accepting new patients |
| Mount Sinai Community Foundation | Current |
Accepting new patients | |
| Uropartners LLC | Urology | Current | Accepting new patients |
| Uropartners, LLC | Urology | Current |
Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients |
Locations
7447 W Talcott Ave
Ste 509
Chicago, IL 60631
Phone (773) 775-0800
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100
7900 N Milwaukee Ave
Ste 17
Niles, IL 60714
Phone (847) 470-1500
350 S Northwest Hwy
Ste 106
Park Ridge, IL 60068
Phone (847) 470-1500
1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361
6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036.122111 | IL | Yes |
Addresses
Primary practice location
350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262
Mailing address
350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262
Phone (847) 470-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036122111 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | davidrebuck@uropart.allscriptsdirect.net |
Other providers in Park Ridge, IL
- Joshua Raven
- Rahul Ravindran
- Jordan Ray
- Syed Kazim Raza
- Rci (WRS), LLC.
- Lindsay Recsetar
- Sahana Tota Reddy
- Mary Gail Reding
- Hollis Redmon
- Margarita Redmond
All providers in Park Ridge, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.