Active NPI
Ricardo Ortiz Loubriel, M.D.
- Emergency Medicine Physician
- Carbondale, IL
National Provider Identifier
1740845684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036179173
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- Fax
- (618) 457-0469
- NPI assigned
- May 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036179173 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other practice location 1
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-0350
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171 ext. 35130
Other practice location 3
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156 ext. 55620
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rortizloubriel91341@sih.direct-ci.com | ||
| Direct Messaging Address | rortizloubriel91341@sih.direct-ci.com | ||
| Direct Messaging Address | rortizloubriel91341@sih.direct-ci.com | ||
| Direct Messaging Address | rortizloubriel91341@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 3988
Carbondale, IL 62902
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036179173 | IL | MD | Emergency Medicine Physician |
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1467007112
-
- General Acute Care Hospital
- West Reading, PA
- NPI 1669530069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1740845684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721",
"fax_number": "618-457-0469"
}
],
"practiceLocations": [
{
"address_1": "100 Dr Warren Tuttle Dr",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "IL",
"postal_code": "629462718",
"country_code": "US",
"telephone_number": "618-253-0350",
"fax_number": "618-252-2425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171 x35130",
"fax_number": "618-351-4917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156 x55620",
"fax_number": "618-529-0524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ LOUBRIEL",
"first_name": "RICARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036179173",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rortizloubriel91341@sih.direct-ci.com",
"affiliation": "N",
"address_1": "201 S 14th St",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483631",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rortizloubriel91341@sih.direct-ci.com",
"affiliation": "N",
"address_1": "2 S Hospital Dr",
"city": "Murphysboro",
"state": "IL",
"country_code": "US",
"postal_code": "629663333",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rortizloubriel91341@sih.direct-ci.com",
"affiliation": "N",
"address_1": "100 Dr Warren Tuttle Dr",
"city": "Harrisburg",
"state": "IL",
"country_code": "US",
"postal_code": "629462718",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rortizloubriel91341@sih.direct-ci.com",
"affiliation": "N",
"address_1": "405 W Jackson St",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.