Rahulkumar Amrutiya

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

036.178446 Issued in IL

Practice address

1 Good Samaritan Way
Mount Vernon, IL 62864-2402

Phone

(618) 242-4600

Fax

(618) 899-4701

NPI assigned

Sep 5, 2023

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1942086947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOOD SAMARITAN WAY",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642402",
            "telephone_number": "618-242-4000",
            "fax_number": "618-899-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GOOD SAMARITAN WAY",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642402",
            "telephone_number": "618-242-4600",
            "fax_number": "618-899-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRUTIYA",
        "first_name": "RAHULKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.178446",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.178446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulmonam Ahmad Abulgasem Ali, M.D.
• Tiffany L Alms, RN
• Suzanne E Alt, DO
• Michael Ambrose, MD
• American Homepatient, Inc.
• Anderson Family Practice
• Kathleen Anderson
• Sarah Anderson, P.T.
• Carla Jenell Andrews, RN
• Anesthesia Associates of Southern Illinois Surgery Center LLC

• Hospitalist Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Hospitalist Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.