Active NPI
Robb V Rydzynski, D.O.
- Obstetrics & Gynecology Physician
- Dixon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-116183
- Practice address
- 215 E. 1St Street
Suite 215
Dixon, IL 61021 - Phone
- (815) 288-7711
- Fax
- (815) 285-8930
- NPI assigned
- Jun 30, 2006
- Last updated
- Aug 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-116183 | IL | Primary |
Addresses
Primary practice location
215 E. 1St Street
Suite 215
Dixon, IL 61021
Mailing address
215 E 1St St
Suite 215
Dixon, IL 61021-3166
Phone (815) 288-7711
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K29795 | Other | IL | MEDICARE |
| 036-116183 | Other | IL | LICENSE NUMBER |
| 036116183 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morrison Community Hospital District
Practice addresses (Care Compare)
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-116183 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| CGH Medical Center | Past | Accepting new patients |
Locations
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003
Interoperability endpoints
- robbrydzynski@mchospital.medalliesdirect.net
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.
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Family Medicine Physician
- Morrison, IL
- NPI 1700907250
-
- Counselor
- Morrison, IL
- NPI 1881331981
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1720016306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E 1ST ST",
"address_2": "SUITE 215",
"city": "DIXON",
"state": "IL",
"postal_code": "610213166",
"telephone_number": "815-288-7711",
"fax_number": "815-285-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E. 1ST STREET",
"address_2": "SUITE 215",
"city": "DIXON",
"state": "IL",
"postal_code": "61021",
"telephone_number": "815-288-7711",
"fax_number": "815-285-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDZYNSKI",
"first_name": "ROBB",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-116183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K29795",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "036-116183",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036116183",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.