Individual provider Active NPI

Ronald E Stella, M.D.

  • Interventional Cardiology Physician
  • Berwyn, IL
National Provider Identifier
1821052093
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036082783 Issued in IL
Practice address
3231 Euclid Ave Ste 201
Berwyn, IL 60402-3472
Phone
(708) 783-2055
Fax
(708) 783-2181
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036082783 IL
Interventional Cardiology Physician 207RI0011X 036082783 IL Primary

Addresses

Primary practice location

3231 Euclid Ave Ste 201
Berwyn, IL 60402-3472

Mailing address

13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508
Phone (708) 478-3600

Other practice location 1

11560 S Kedzie Ave Ste 102
Merrionette Park, IL 60803-4517
Phone (708) 972-7525

Other practice location 2

11560 S Kedzie Ave Ste 100
Merrionette Park, IL 60803-4517
Phone (708) 824-1114

Other practice location 3

13011 S 104th Ave Ste 100
Palos Park, IL 60464-1508
Phone (708) 274-3278

Other practice location 4

2338 New St
Blue Island, IL 60406-2402
Phone (708) 824-1114

Other identifiers 11

IdentifierTypeStateIssuer
036082783MedicaidIL
416810OtherILMEDICARE GROUP
1508810086OtherILHEART CARE CENTERS OF ILLINOIS GROUP NPI
CD8033OtherILRAILROAD MEDICARE GROUP PTAN NUMBER
CG1672OtherILRAILROAD MEDICARE GROUP PTAN NUMBER
CN2703OtherILRAILROAD MEDICARE GROUP PTAN NUMBER
060042294OtherILRAILROAD MEDICARE COOK
236551OtherILMEDICARE GROUP
01621208OtherILBLUECROSS BLUE SHIELD
060043539OtherILRAILROAD MEDICARE WILL
236550OtherILMEDICARE GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstella-sm@heartcc.com

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
I20040501000089 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9931001435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Care Centers of Illinois, S.C.Group PAC ID 6103738810, 37 clinicians
Gottlieb Community Health Services CorporationGroup PAC ID 3375442999, 42 clinicians

Practice addresses (Care Compare)

10260 191St St
Suite 102
Mokena, IL 60448-8802
Phone (708) 478-4224

11560 S Kedzie Ave
Merrionette Park, IL 60803-4517

13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1508
Phone (708) 274-3278

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7097

3231 Euclid Ave
Suite 201
Berwyn, IL 60402-3472
Phone (708) 783-2055

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 788-9100

Heart Care Centers of Illinois SC
13011 S 104TH Avenue Suite 100
Palos Park, IL 60464-1508

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Community Hospital Hospital, Munster, IN, CCN 150125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Leg revascularization (restoring blood flow)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036082783ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vascular, LLC Cardiovascular Disease CurrentSince Aug 15, 2016 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 15, 2018 Accepting new patients
Adventist Health Partners,Inc CurrentSince Oct 25, 2025 Accepting new patients
Adventist Health Partners, Inc CurrentSince Oct 25, 2025 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 15, 2018 Accepting new patients
Heart Care Centers of Illinois, SC Cardiovascular Disease CurrentSince Sep 1, 2005 Accepting new patients
Uropartners, LLC Past Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients
Macneal Physicians Group LLC Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600

3231 Euclid Ave
Ste 201
Berwyn, IL 60402
Phone (708) 783-2055

2338 New St
Blue Island, IL 60406
Phone (708) 577-5060

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

11560 S Kedzie Ave
Ste 102
Merrionette Park, IL 60803
Phone (708) 972-7520

11560 S Kedzie Ave
Ste 100
Merrionette Park, IL 60803
Phone (708) 824-1114

10260 191st St
Ste 102
Mokena, IL 60448
Phone (708) 478-4224

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278

3722 Harlem Ave
Ste 101
Riverside, IL 60546
Phone (708) 783-6500

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1821052093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-478-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023472",
            "telephone_number": "708-783-2055",
            "fax_number": "708-783-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11560 S Kedzie Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608034517",
            "country_code": "US",
            "telephone_number": "708-972-7525",
            "fax_number": "708-972-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11560 S Kedzie Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608034517",
            "country_code": "US",
            "telephone_number": "708-824-1114",
            "fax_number": "708-824-9341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13011 S 104th Ave Ste 100",
            "address_purpose": "LOCATION",
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            "state": "IL",
            "postal_code": "604641508",
            "country_code": "US",
            "telephone_number": "708-274-3278",
            "fax_number": "708-274-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2338 New St",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062402",
            "country_code": "US",
            "telephone_number": "708-824-1114",
            "fax_number": "708-824-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLA",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036082783",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036082783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082783",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "416810",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEART CARE CENTERS OF ILLINOIS GROUP NPI",
            "identifier": "1508810086",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN NUMBER",
            "identifier": "CD8033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN NUMBER",
            "identifier": "CG1672",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN NUMBER",
            "identifier": "CN2703",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE COOK",
            "identifier": "060042294",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "236551",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "01621208",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE WILL",
            "identifier": "060043539",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "236550",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstella-sm@heartcc.com",
            "affiliation": "N",
            "address_1": "13011 S 104th Ave Ste 100",
            "city": "Palos Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604641508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.