Individual provider Active NPI

Edward John Rybka, D.O.

  • Family Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1790920981
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36-2169147 Issued in IL
Practice address
4301 W 95TH St
Oak Lawn, IL 60453-2698
Phone
(708) 425-5500
NPI assigned
Dec 2, 2008
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.054756 IL
Family Medicine Physician 207Q00000X 36-2169147 IL Primary

Addresses

Primary practice location

4301 W 95TH St
Oak Lawn, IL 60453-2698

Mailing address

4301 W 95TH St
Oak Lawn, IL 60453-2698
Phone (708) 425-5500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address erybka277493@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000459 IL Practitioner - Family Practice 5890973267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawn Medical Center, S.C.Group PAC ID 4789689548, 11 clinicians

Practice addresses (Care Compare)

4301 W 95TH St
Oak Lawn, IL 60453-2670
Phone (708) 425-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.054756ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Oncologists, LLC Single Specialty CurrentSince Jan 3, 2012 Accepting new patients
Lawn Medical Center, S.C. Single Specialty CurrentSince Jul 25, 2011 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 1, 2013 Accepting new patients
Advocate Health and Hospitals Corporation Single Specialty CurrentSince Jun 1, 2013 Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

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

29373 Network Pl
Chicago, IL 60673

4140 Southwest Hwy
Oak Lawn, IL 60456
Phone (708) 422-5700

4301 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-5500

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

Interoperability endpoints

  • Direct secure messaging: erybka277493@direct.myadvocateaurora.org

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.

Hospital & facility affiliations 5

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1790920981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532698",
            "telephone_number": "708-425-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532698",
            "telephone_number": "708-425-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBKA",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.054756",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-2169147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erybka277493@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "4301 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532698",
            "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": "4301 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.