Individual provider Active NPI

Robert J. Bartucci, M.D.

  • Psychiatry Physician
  • Crystal Lake, IL
National Provider Identifier
1912054990
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0045008 Issued in FL
Practice address
875 S. Route 31
Crystal Lake, IL 60014
Phone
(779) 220-5500
Fax
(779) 220-5184
NPI assigned
Jan 4, 2007
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0045008 FL Primary
Psychiatry Physician 2084P0800X 036.067370 IL
Psychiatry Physician 2084P0800X MD49507 TN
Addiction Psychiatry Physician 2084P0802X MD49507 TN
Child & Adolescent Psychiatry Physician 2084P0804X ME0045008 FL
Geriatric Psychiatry Physician 2084P0805X ME0045008 FL

Addresses

Primary practice location

875 S. Route 31
Crystal Lake, IL 60014

Mailing address

PO Box 7128
Algonquin, IL 60102-7128
Phone (941) 416-4589

Other practice location 1

415 E Congress Pkwy
Crystal Lake, IL 60014-6248
Phone (779) 220-5600

Other identifiers 1

IdentifierTypeStateIssuer
056829500MedicaidFL

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
I20250911004740 IL Practitioner - Psychiatry 5092717553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

415 E Congress Pkwy
Crystal Lake, IL 60014-6248
Phone (779) 220-5600

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.067370ILMDPsychiatry Physician
MD49507TNMDPsychiatry Physician
ME0045008FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Sep 2, 2025 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Mercy Health System Corporation CurrentSince Sep 2, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 2, 2025 Accepting new patients
Appalachian Regional Behavioral Healthcare Inc Psychiatry Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

415 E Congress Pkwy
Crystal Lake, IL 60014
Phone (779) 220-5600

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

Interoperability endpoints

  • Direct secure messaging: rbartucci128859@direct.mhemail.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1912054990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7128",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601027128",
            "telephone_number": "941-416-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S. ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146248",
            "country_code": "US",
            "telephone_number": "779-220-5600",
            "fax_number": "779-220-5602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTUCCI",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0045008",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.067370",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD49507",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TN",
            "license": "MD49507",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME0045008",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME0045008",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056829500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.