Active NPI
Robert J. Bartucci, M.D.
- Psychiatry Physician
- Crystal Lake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0045008
- 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, 2025
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056829500 | Medicaid | FL |
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
- Psychiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.067370 | IL | MD | Psychiatry Physician |
| MD49507 | TN | MD | Psychiatry Physician |
| ME0045008 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | 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
- 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.
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
dba ARBH Triage Providers
- Psychiatry Physician
- Linville, NC
- NPI 1629642475
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.