Individual provider Active NPI

Ronald W Riegelhaupt

  • Foot & Ankle Surgery Podiatrist
  • Glenview, IL
National Provider Identifier
1821203548
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016003156 Issued in IL
Practice address
1775 Glenview Rd
Suite 115
Glenview, IL 60025-2956
Phone
(847) 729-4710
Fax
(847) 729-4746
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016003156 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 016003156 IL Primary

Addresses

Primary practice location

1775 Glenview Rd
Suite 115
Glenview, IL 60025-2956

Mailing address

1775 Glenview Rd
Suite 115
Glenview, IL 60025-2956
Phone (847) 729-4710

Other identifiers 3

IdentifierTypeStateIssuer
DD3445OtherILRAILROAD GROUP #
016-3156MedicaidIL
480000990OtherILRR MEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041210000259 IL Practitioner - Podiatry 0446217582 Receives reassigned benefits from 1 practitioner
Practice locations: Riverwoods, IL; Waukegan, IL; Skokie, IL; Park Ridge, IL; Lindenhurst, IL; Libertyville, IL; Highland Park, IL; Gurnee, IL…
O20100930084416 IL DME Supplier - Physician - Podiatry 7618095217 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glenview, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

103 S Greenleaf St B
Gurnee, IL 60031-3380
Phone (847) 623-4444

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 298-6000

1775 Glenview Rd
Suite 115
Glenview, IL 60025-2943
Phone (847) 723-2210

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue205
Removal of skin lesions230
Removal of nail tissue777
Removal or shaving of skin growth700
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016003156ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Surgicare Podiatrist PastSince Jul 27, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drronriegelhauptandassociates.ronriegelhaupt@129621.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1821203548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 115",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-4710",
            "fax_number": "847-729-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 GLENVIEW RD",
            "address_2": "SUITE 115",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252956",
            "telephone_number": "847-729-4710",
            "fax_number": "847-729-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEGELHAUPT",
        "first_name": "RONALD",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016003156",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016003156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP #",
            "identifier": "DD3445",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016-3156",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL PTAN",
            "identifier": "480000990",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.