Individual provider Active NPI

Ronald S Stumbris, MD

  • General Practice Physician
  • Tinley Park, IL
National Provider Identifier
1891858346
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036-088148 Issued in IL
Practice address
18400 Maple Creek Dr Ste 700
Tinley Park, IL 60477-3027
Phone
(708) 448-6720
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 036-088148 IL
General Practice Physician 208D00000X 036-088148 IL Primary

Addresses

Primary practice location

18400 Maple Creek Dr Ste 700
Tinley Park, IL 60477-3027

Mailing address

PO Box 296
Palos Heights, IL 60463-0296
Phone (708) 448-0870

Other identifiers 1

IdentifierTypeStateIssuer
01633957OtherILBCBS PROVIDER

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
I20110512000630 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Internal MedicinePractitioner - Pain Management 0446436299 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-088148ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Home Physicians,LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1891858346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630296",
            "telephone_number": "708-448-0870",
            "fax_number": "708-448-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 MAPLE CREEK DR STE 700",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773027",
            "telephone_number": "708-448-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBRIS",
        "first_name": "RONALD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "IL",
            "license": "036-088148",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-088148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "01633957",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.