Active NPI
Kathleen A Ruggero, DO
- Infectious Disease Physician
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036102814
- Practice address
- 7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025 - Phone
- (708) 361-5778
- Fax
- (708) 361-5631
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 036102814 | IL | Primary |
Addresses
Primary practice location
7804 W College Dr
Suite 1NW
Palos Heights, IL 60463-1025
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602232600 | Other | IL | US DEPT OF LABOR |
| 036102814 | Medicaid | IL | |
| 21622441 | Other | IL | BCBS PROVIDER ID |
| P00082676 | Other | IL | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kruggero278527@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
- Infectious Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7804 W College Dr
Palos Heights, IL 60463-1025
Phone (708) 361-5778
Hospital & facility affiliations
- Palos Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Advocate Christ Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.56 of 100
- Quality
- 63.67
- Improvement activities
- 0
- Cost
- 70.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Infectious Disease & Internal Medicine S C | Infectious Disease | Current | Accepting new patients |
| Id Associates Limited | Infectious Disease | Past | Accepting new patients |
| John V. Kelly MD, PC | Past | Accepting new patients |
Locations
17W755 Butterfield Rd
Ste 101
Oakbrook Terrace, IL 60181
Phone (630) 323-4075
7804 W College Dr
Ste 1NW
Palos Heights, IL 60463
Phone (708) 361-5778
7804 W College Dr
Palos Heights, IL 60463
Phone (708) 361-5778
11800 Southwest Hwy
Palos Heights, IL 60463
Phone (708) 361-0220
7804 W College Dr
Ste 1N
Palos Heights, IL 60463
Phone (708) 361-5778
777 Oakmont Ln
Ste 1600
Westmont, IL 60559
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Palos Heights, IL
- NPI 1447337548
-
- Infectious Disease Physician
- Oak Brook, IL
- NPI 1699201582
-
- Internal Medicine Physician
- Bloomfield, NJ
- NPI 1417065830
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1861487464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7804 W COLLEGE DR",
"address_2": "SUITE 1NW",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631025",
"telephone_number": "708-361-5778",
"fax_number": "708-361-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGERO",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036102814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "602232600",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102814",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "21622441",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00082676",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kruggero278527@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7804 W College Dr",
"address_2": "Suite 1NW",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604631025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "7804 W College Dr",
"address_2": "Suite 1NW",
"city": "Palos Heights",
"state": "IL",
"country_code": "US",
"postal_code": "604631025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.