Individual provider Active NPI

Robert J Strugala, MD

  • Sports Medicine (Preventive Medicine) Physician
  • Chicago, IL
National Provider Identifier
1861445256
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
License
036103167 Issued in IL
Practice address
2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2955
Phone
(312) 842-4600
Fax
(312) 846-8694
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 036103167 IL Primary

Addresses

Primary practice location

2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2955

Mailing address

2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2955
Phone (312) 842-4600

Other identifiers 1

IdentifierTypeStateIssuer
036103167MedicaidIL

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
I20041013000655 IL Practitioner - Orthopedic SurgeryPractitioner - Internal Medicine 5294795381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Orthopedic Associates PLLCGroup PAC ID 3971562430, 17 clinicians

Practice addresses (Care Compare)

1111 E 87TH St
Suite 600
Chicago, IL 60619-7038
Phone (773) 375-5500

2850 S Wabash
Chicago, IL 60616-2491

2850 S Wabash Ave
Suite 100
Chicago, IL 60616-2491
Phone (312) 842-4600

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

8735 S Merrion LN
Hometown, IL 60456-1133
Phone (708) 425-1150

Hospital & facility affiliations

  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036103167ILMDSports Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2021 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Midland Orthopedic Associates PLLC CurrentSince Aug 30, 2004 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2021 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

2850 S Wabash Ave
Ste 100
Chicago, IL 60616
Phone (312) 842-4600

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1111 E 87th St
Ste 600
Chicago, IL 60619
Phone (773) 375-5500

8735 S Merrion Ln
Hometown, IL 60456
Phone (708) 425-1150

Organizations & group practices 4

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 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1861445256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-842-4600",
            "fax_number": "312-846-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-842-4600",
            "fax_number": "312-846-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUGALA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "IL",
            "license": "036103167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.