Jose Rafael Deurrutia, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.077752 Issued in IL

Practice address

3700 W 26TH St
Chicago, IL 60623-3824

Phone

(773) 542-5203

NPI assigned

Jun 1, 2006

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdeurrutia6765@direct.achn.net

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.

• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Des Plaines, IL
  • NPI 1982783692
  Medicare reassignment NPD
• Access Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1699701383
  NPD
• Emergency Care & Heallth Organization, LTD

  • Emergency Medicine Physician
  • Olympia Fields, IL
  • NPI 1972547248
  NPD (past)
• Emergency Care & Health Organization, LTD

  • Emergency Medicine Physician
  • Chicago Heights, IL
  • NPI 1558303883
  NPD (past)
• Emergency Care Physician Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1568493294
  NPD (past)
• Emergency Care Physician Services HP, LTD.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1104841774
  NPD (past)
• Emergency Care Physician Services-Blue Island LTD

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1558524793
  NPD (past)
• Rush Oak Park Hospital, Inc.

  dba Rush Oak Park Physicians Group

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1417914839
  NPD (past)
• Unimed, LTD

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1205849718
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1831136647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233824",
            "telephone_number": "773-542-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606233824",
            "telephone_number": "773-542-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEURRUTIA",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.077752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeurrutia6765@direct.achn.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3700 W 26th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606233824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce Detrich, LMT
• Deborah Lynn Dettman, LCSW, LICSW, SUDP
• Jamine L Dettmering, BCBA
• Julia Debra Dettner
• Linda Deubel, LCPC
• Todd David Deutch, M.D.
• David D. Deutsch, M.D.
• Monica Deutsch, DPT
• Rachel Deutsch, DNP, AGNP-C
• Samantha Lynn Deutsch, M.S., CCC-SLP

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.