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RUSH-COPLEY MEDICAL GROUP
NPI 1013018340
Obstetrics & Gynecology - Obstetrics in Aurora, IL

Active since September 26, 2006CLIA Certified · 4 labs
2040 OGDEN AVE, SUITE 201, AURORA, IL 60504(630) 978-6886(630) 978-6806 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rush-copley Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSH-COPLEY MEDICAL GROUP (NPI 1013018340) is a healthcare organization registered as an obstetrics in Aurora, Illinois and active in the NPI registry since September 2006. The organization holds 4 active CLIA laboratory certificates and lists Marcee Brummel, Exec. Director, as its authorized official.

NPPES Registry Identity

NPI1013018340
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameRUSH-COPLEY MEDICAL GROUP
Location Address2040 OGDEN AVE, SUITE 201Aurora, IL 60504-7222
Mailing Address1256 Waterford Dr Ste 230Aurora, IL 60504-4511 · (630) 499-2404 · Fax (630) 692-5518
Phone(630) 978-6886
Fax(630) 978-6806
Organization SubpartYes
Authorized OfficialMarcee BrummelExec. Director · (630) 978-4915
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 21, 2018
✔ NPI 1013018340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
2040 OGDEN AVE, Aurora, IL 60504
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rush-copley Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20040310001029Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Rush-Copley Medical Group, which bills Medicare for the services they deliver. Of these, 68 practice at this address and 129 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner60
Family Practice29
Internal Medicine16
Obstetrics/Gynecology16
General Surgery6
Otolaryngology5
Certified Nurse Midwife (CNM)4
Gastroenterology4
14 other specialties31

Nearest to this location (20)

See all 171
Saju Abraham, M.D.
Neurology
NPI 1528191756
2040 OGDEN AVE STE 401
Aurora, IL 60504
(312) 942-4500
✔ PECOSSame address
Tara Anderson, MD
Obstetrics/Gynecology
NPI 1891781035
2040 OGDEN AVE SUITE 201
Aurora, IL 60504
(630) 978-6886
✔ PECOSSame address
Sujay Bangarulingam, MD
Pulmonary Disease
NPI 1710977640
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 499-7500
✔ PECOSSame address
Suzanne Bergen, MD
Obstetrics/Gynecology
NPI 1336287093
2040 OGDEN AVE SUITE 107
Aurora, IL 60504
(630) 692-5700
✔ PECOSSame address
Padmalatha Berikai, MD
Endocrinology
NPI 1659306181
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 978-4889
✔ PECOSSame address
Allen Bloom, MD
General Surgery
NPI 1851409387
2040 OGDEN AVE SUITE 115
Aurora, IL 60504
(630) 585-0200
✔ PECOS✔ Accepts MedicareSame address
Terry Corso Oboyle, AU.D
Qualified Audiologist
NPI 1215101977
2040 OGDEN AVENUE SUITE 301
Aurora, IL 60504
(630) 978-6865
Same address
Mohammad Daaif, MD
Neurology
NPI 1720271331
2040 OGDEN AVE STE 401
Aurora, IL 60504
(312) 942-4500
✔ PECOSSame address
Alla Dubenets, APRN
Nurse Practitioner
NPI 1457966079
2040 OGDEN AVE STE 401
Aurora, IL 60504
(312) 942-4500
✔ PECOSSame address
Lauren Franker, APN, MSN, ACNP, BC
Nurse Practitioner
NPI 1730474198
2040 OGDEN AVE SUITE 300
Aurora, IL 60504
(630) 978-6770
✔ PECOS✔ Accepts MedicareSame address
Keith Hood, M.D.
Plastic and Reconstructive Surgery
NPI 1558599175
2040 OGDEN AVE STE 115
Aurora, IL 60504
(630) 922-8825
✔ PECOS✔ Accepts MedicareSame address
Jonathan Huang, M.D.
Urology
NPI 1104183417
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 692-5700
✔ PECOSSame address
Stephen Kelanic, M.D., F.A.C.S.
Otolaryngology
NPI 1265451140
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 978-6895
✔ PECOSSame address
Tommy Pacana, M.D.
Gastroenterology
NPI 1093018285
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 499-6688
✔ PECOSSame address
Dmitry Ruban, MD
Neurosurgery
NPI 1720279573
2040 OGDEN AVE SUITE 300
Aurora, IL 60504
(630) 978-6770
✔ PECOS✔ Accepts MedicareSame address
Suneetha Vysetti, MD
Internal Medicine
NPI 1154596567
2040 OGDEN AVE STE 401
Aurora, IL 60504
(630) 978-4889
✔ PECOSSame address
Brandon Shun, MD
Hospitalist
NPI 1215553706
2000 OGDEN AVE
Aurora, IL 60504
(866) 565-8607
✔ PECOS✔ Accepts MedicareSame address
Sarah Ahmed, MD
Family Practice
NPI 1891958880
2020 OGDEN AVE STE 400
Aurora, IL 60504
(630) 926-5563
✔ PECOS✔ Accepts MedicareSame address
Jennifer Baxter, APN, CNM, WHNP
Certified Nurse Midwife (CNM)
NPI 1922157734
2020 OGDEN AVE STE 225
Aurora, IL 60504
(630) 978-4800
✔ PECOSSame address
Arjun Dayal, M.D.
Dermatology
NPI 1093246621
2020 OGDEN AVE
Aurora, IL 60504
(630) 692-5563
✔ PECOS✔ Accepts MedicareSame address
See all 171 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0953934

Rush-Copley Medical Group · Aurora, IL
Active · expires Apr 20, 2027
CLIA Number14D0953934
Laboratory TypeIndependent
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorEllen E. Embry
Laboratory Phone(630) 978-6886
Laboratory LocationRush-Copley Medical Group2040 Ogden Avenue, Suite 201, Aurora, IL 60504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1047832

Rush-Copley Medical Group · Yorkville, IL
Active · expires Nov 14, 2027
CLIA Number14D1047832
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorMarta M. Saj
Laboratory Phone(630) 978-6886
Laboratory LocationRush-Copley Medical Group1100 W Veterans Parkway, Ste 210, Yorkville, IL 60560
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 14D2298354

Rush Copley Medical Group Dermatology · Aurora, IL
Active · expires Feb 3, 2028
CLIA Number14D2298354
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorZachary Solomon
Laboratory Phone(630) 236-4315
Laboratory LocationRush Copley Medical Group Dermatology2020 Ogden Ave - Set 400, Aurora, IL 60504
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0982030

Rush Copley Medical Group · Aurora, IL
Active · expires Jan 29, 2028
CLIA Number14D0982030
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorGregory K. Milani
Laboratory Phone(630) 692-5563
Laboratory LocationRush Copley Medical Group2020 Ogden Avenue Suite 400, Aurora, IL 60504
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rush-Copley Medical Group's NPI number?

The NPI number for Rush-Copley Medical Group is 1013018340. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Rush-Copley Medical Group located?

Rush-Copley Medical Group is located at 2040 Ogden Ave Suite 201, Aurora, IL 60504. The listed phone number is (630) 978-6886.

What is Rush-Copley Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Rush-Copley Medical Group enrolled in Medicare?

Yes. Rush-Copley Medical Group is registered in the Medicare PECOS enrollment system.

When is Rush-Copley Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rush-Copley Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 22 Medicare specialties reassign their Medicare billing to Rush-Copley Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (60), Family Practice (29) and Internal Medicine (16). Of these, 68 practice at this address and 129 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rush-Copley Medical Group hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Rush-Copley Medical Group was last updated on February 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.