Active NPI
P Ronjon Paul, MD
- Orthopaedic Surgery of the Spine Physician
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 036108982
- Practice address
- 120 Spalding Dr Ste 400
Naperville, IL 60540-6559 - Phone
- (630) 967-2225
- NPI assigned
- Mar 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 036108982 | IL | Primary |
Addresses
Primary practice location
120 Spalding Dr Ste 400
Naperville, IL 60540-6559
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036108982 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ppaul319@direct.edward.org |
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
- Orthopedic Surgery
- Education
- University of Chicago, Pritzker School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Residential Home Health
- Edward Hospital
- Northwest Community Hospital 1
- Northshore University Healthsystem - Evanston Hospital
- Elmhurst Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 296 |
| Laminectomy or laminotomy (partial removal of spine bones) | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036108982 | IL | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
120 Spalding Dr
Ste 400
Naperville, IL 60540
Phone (630) 967-2225
519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535
3329 75th St
Fl 2
Woodridge, IL 60517
Phone (630) 527-7205
Interoperability endpoints
- ppaul183111@direct.nch.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- Home Health Agency
- Lisle, IL
- NPI 1336377365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1861460693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SPALDING DR STE 400",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605406559",
"telephone_number": "630-967-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "P",
"middle_name": "RONJON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IL",
"license": "036108982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036108982",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ppaul319@direct.edward.org",
"affiliation": "N",
"address_1": "120 Spalding Dr Ste 400",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605406559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.