Individual provider Active NPI

Alchristian Cosca Villaruz, MD

  • Emergency Medicine Physician
  • North Chicago, IL
National Provider Identifier
1912099201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D48324 Issued in MD
Practice address
3001 North Green Bay Road
Dept of Emergency Medicine
North Chicago, IL 60064
Phone
(224) 610-5505
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D48324 MD Primary

Addresses

Primary practice location

3001 North Green Bay Road
Dept of Emergency Medicine
North Chicago, IL 60064

Mailing address

1761 West Morse
Unit 3 South
Chicago, IL 60626
Phone (773) 761-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120426000421 MD Practitioner - Emergency Medicine 7012179690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Chicago, Pritzker School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians

Practice addresses (Care Compare)

715 Cambridge Marketplace Blvd
Cambridge, MD 21613-2567
Phone (443) 225-7500

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 8, 2024 Accepting new patients
Chester River Health Center CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince May 8, 2024 Accepting new patients
Chester River Hospital Center CurrentSince Jun 1, 2024 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

715 Cambridge Marketplace Blvd
Cambridge, MD 21613
Phone (443) 225-7500

300 Byrn St
Cambridge, MD 21613
Phone (410) 228-5511

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: avillaruz475140@direct.umm.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912099201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 WEST MORSE",
            "address_2": "UNIT 3 SOUTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "773-761-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NORTH GREEN BAY ROAD",
            "address_2": "DEPT OF EMERGENCY MEDICINE",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "224-610-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARUZ",
        "first_name": "ALCHRISTIAN",
        "middle_name": "COSCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D48324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.