Ryan Kuta, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036-155901 Issued in IL

Practice address

2940 Rollingridge Rd Ste 201
Naperville, IL 60564-4217

Phone

(630) 967-6000

Fax

(630) 428-3971

NPI assigned

May 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Midwestern University, Chicago College of Osteopathic Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment Care Compare group NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• DMG Pain Management Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Naperville, IL
  • NPI 1306135298
  NPD (past)
• DMG Surgical Center LLC

  dba Duly Surgery Center Lombard

  • Ambulatory Surgical Clinic/Center
  • Lombard, IL
  • NPI 1710924899
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  Care Compare affiliation
• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • General Acute Care Hospital
  • Glendale Heights, IL
  • NPI 1760415939
  Care Compare affiliation

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1851882278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 ROLLINGRIDGE RD STE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644217",
            "telephone_number": "630-967-6000",
            "fax_number": "630-428-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy Ste 739",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTA",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125-071994",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-155901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE MEDICAL LICENSE NUMBER",
            "identifier": "125-071994",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F400984921",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkuta262588@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2940 Rollingridge Rd Ste 201",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605644217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Kurowski, RBT
• Kurt Warkenthien SC (Golden Rule Family Practice Inc)
• Sierra Kurtys, LSW
• Elizabeth Anne Kurtz Barrido, D.P.M.
• Michael R Kurzer Jr., M.D.
• Andrew Kutemeier, MSW
• Brooke Ann Kuzniewicz
• Sarah Kvam, MA, BCBA, LBA
• Kenneth Michael Kwiatkowski
• Nicole Kwilosz

• Pain Medicine (Anesthesiology) Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.

Verify at the official NPI Registry.