Active NPI
Ronald E Stella, M.D.
- Interventional Cardiology Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036082783
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036082783 | Medicaid | IL | |
| 416810 | Other | IL | MEDICARE GROUP |
| 1508810086 | Other | IL | HEART CARE CENTERS OF ILLINOIS GROUP NPI |
| CD8033 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| CG1672 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| CN2703 | Other | IL | RAILROAD MEDICARE GROUP PTAN NUMBER |
| 060042294 | Other | IL | RAILROAD MEDICARE COOK |
| 236551 | Other | IL | MEDICARE GROUP |
| 01621208 | Other | IL | BLUECROSS BLUE SHIELD |
| 060043539 | Other | IL | RAILROAD MEDICARE WILL |
| 236550 | Other | IL | MEDICARE GROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Macneal Hospital
- Palos Community Hospital
- Loyola University Medical Center
- Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Leg revascularization (restoring blood flow) | 62 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036082783 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Vascular, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Heart Care Centers of Illinois, SC | Cardiovascular Disease | Current | 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.
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- Cardiovascular Disease Physician
- Palos Park, IL
- NPI 1508810086
-
- Interventional Cardiology Physician
- Merrionette Park, IL
- NPI 1366890782
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
- Urology Physician
- Bolingbrook, IL
- NPI 1760620819
-
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- Family Medicine Physician
- Hinsdale, IL
- NPI 1265475032
-
- Internal Medicine Physician
- Berwyn, IL
- NPI 1205024791
-
- Durable Medical Equipment & Medical Supplies
- Geneva, IL
- NPI 1659124683
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
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",
"address_1": "3231 EUCLID AVE STE 201",
"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",
"city": "Palos Park",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.