NPIMap

Individual provider Active NPI

David Aaron Rebuck, M.D.

  • Urology Physician
  • Park Ridge, IL
National Provider Identifier
1689809808
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036.122111 Issued in 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
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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 036.122111 IL Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidrebuck@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000510 IL Practitioner - Urology 3870761646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.122111ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners LLC Urology Current Accepting new patients
Uropartners, LLC Urology CurrentSince Jan 1, 2015 Accepting new patients
Uropartners, LLC Urology Current Accepting new patients
United Shockwave Services, LTD. CurrentSince Sep 10, 2011 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Mount Sinai Community Foundation CurrentSince May 14, 2011 Accepting new patients
Uropartners, LLC Urology Current Accepting new patients
United Shockwave Services, LTD. Urology CurrentSince Sep 10, 2011 Accepting new patients
Uropartners, LLC Urology CurrentSince Jan 1, 2015 Accepting new patients
Mount Sinai Community Foundation CurrentSince May 14, 2011 Accepting new patients
Uropartners, LLC Urology Past Accepting new patients

Locations

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7447 W Talcott Ave
Ste 509
Chicago, IL 60631
Phone (773) 775-0800

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

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

350 S Northwest Hwy
Ste 106
Park Ridge, IL 60068
Phone (847) 470-1500

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

Interoperability endpoints

  • Direct secure messaging: davidrebuck@uropart.allscriptsdirect.net

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1689809808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-470-1500",
            "fax_number": "847-470-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S NORTHWEST HWY STE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684262",
            "telephone_number": "847-470-1500",
            "fax_number": "847-470-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBUCK",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036.122111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidrebuck@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "350 S Northwest Hwy Ste 106",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600684262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.