Individual provider Active NPI

Brian P Ragona, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Joliet, IL
National Provider Identifier
1992701015
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036069543 Issued in IL
Practice address
1050 Essington Rd Ste C
Joliet, IL 60435-8416
Phone
(815) 729-0129
Fax
(815) 729-1643
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036069543 IL Primary

Addresses

Primary practice location

1050 Essington Rd Ste C
Joliet, IL 60435-8416

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 3

IdentifierTypeStateIssuer
110097513OtherILRAILROAD MEDICARE
036069543MedicaidIL
09919564OtherILBLUECROSSBLUESHIELD OF IL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bragona85477@direct.edward.org
Direct Messaging Address bragona85477@direct.edward.org
Direct Messaging Address bragona85477@dulyhealthandcare.direct-ci.com

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
I20040421000996 IL Practitioner - Internal Medicine 2769477009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Chicago College of Medicine and Surgery, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

1050 Essington Rd
Joliet, IL 60435-8415
Phone (815) 729-0129

12004 S Rte
Suite 59
Plainfield, IL 60585-5108
Phone (815) 416-6620

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

  • Newsome Home Health Care & Purpose Care of Illinois - Joliet Home health agency, Joliet, IL, CCN 148208
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Medical Associates, LTD. Current Accepting new patients
Dupage Medical Group LTD CurrentSince Feb 1, 2016 Accepting new patients
Optima Medical Associates, LTD Geriatric Medicine Current Accepting new patients
Dupage Medical Group LTD CurrentSince Feb 1, 2016 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1050 Essington Rd
Joliet, IL 60435
Phone (815) 729-0129

1050 Essington Rd
Ste C
Joliet, IL 60435
Phone (815) 514-2070

3401 Hennepin Dr
Joliet, IL 60431
Phone (815) 436-5900

Interoperability endpoints

  • Direct secure messaging: bragona85477@direct.edward.org

Organizations & group practices 4

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 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1992701015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ESSINGTON RD STE C",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358416",
            "telephone_number": "815-729-0129",
            "fax_number": "815-729-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGONA",
        "first_name": "BRIAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036069543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110097513",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069543",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF IL",
            "identifier": "09919564",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bragona85477@direct.edward.org",
            "affiliation": "N",
            "address_1": "1860 Paysphere Cir",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606748415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bragona85477@direct.edward.org",
            "affiliation": "N",
            "address_1": "1050 Essington Rd Ste C",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604358416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bragona85477@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1050 Essington Rd Ste C",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604358416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.