Individual provider Active NPI

Ruta Jurgaityte Khan, APN

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1730545583
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277-001474 Issued in IL
Practice address
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone
(630) 829-1084
Fax
(630) 829-1040
NPI assigned
Jan 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.013503 IL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 277001474 IL
Family Nurse Practitioner 363LF0000X 277-001474 IL Primary

Addresses

Primary practice location

1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

50 Burr Ridge Pkwy # 9
Burr Ridge, IL 60527-0835
Phone (224) 407-3744

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rkhan205732@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160330000304 IL Practitioner - Nurse Practitioner 0547567901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

1441 Branding Ave
Suite 200
Downers Grove, IL 60515-5624
Phone (630) 829-1084

600 W Ogden Ave
Hinsdale, IL 60521-3158
Phone (630) 325-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.013503ILMDFamily Nurse Practitioner
277-001474ILMDFamily Nurse Practitioner
277001474ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Medical Specialist Inc Single Specialty CurrentSince Oct 20, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 26, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Single Specialty CurrentSince Aug 26, 2017 Accepting new patients
Paragon Clinical LLC Single Specialty CurrentSince Mar 21, 2016 Accepting new patients
Beauty and Health Incorporated Single Specialty Current Accepting new patients
Synergenx Physician Services PLLC Past Accepting new patients
Paragon Clinical Midwest, LLC Single Specialty Past Accepting new patients
Midwest Illinois Six Medical Group, PLLC Single Specialty Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 200
Downers Grove, IL 60515
Phone (630) 829-1038

1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

6319 Fairview Ave
Ste 101
Westmont, IL 60559
Phone (630) 310-1424

Interoperability endpoints

  • Direct secure messaging: rkhan205732@direct.myadvocateaurora.org

Organizations & group practices 9

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": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1730545583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BRANDING AVE STE 310",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155624",
            "telephone_number": "630-829-1084",
            "fax_number": "630-829-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Burr Ridge Pkwy # 9",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270835",
            "country_code": "US",
            "telephone_number": "224-407-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RUTA",
        "middle_name": "JURGAITYTE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.013503",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-001474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkhan205732@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Branding Ave Ste 310",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605155624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.