DR. PAUL A RUZUMNA M.D.
NPI 1033133111
Internal Medicine - Cardiovascular Disease in Arlington Heights, IL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 618-2500(847) 253-8474 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2021, Mar 5, 2020 (2 updates tracked since 2020).

About Dr. Paul A Ruzumna M.d. NPPES

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

DR. PAUL A RUZUMNA M.D. (NPI 1033133111) is an individual cardiovascular disease provider in Arlington Heights, Illinois, licensed in Illinois (036088939) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Northwestern University Feinberg Medical School (1995).

NPPES Registry Identity

NPI1033133111
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PAUL A RUZUMNACredential: M.D.
Location Address1632 W CENTRAL RDArlington Heights, IL 60005-2407
Mailing Address1632 W Central RdArlington Heights, IL 60005-2407 · (847) 618-2500 · Fax (847) 253-8474
Fax(847) 253-8474
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1995
Enumeration DateJuly 26, 2006
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
NPI 1033133111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036088939
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1632 W CENTRAL RD, Arlington Heights, IL 60005

Other Identifiers 2

Medicaid036088939IL
Other060050273Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul A Ruzumna M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668407701
PECOS Enrollment IDI20060112000216
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 32

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
845 services597 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
658 services593 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
481 services460 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
403 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
356 services225 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
290 services290 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Interventional Cardiology)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Nurse Practitioner
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Nurse Practitioner
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1632 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005

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 Paul Ruzumna's NPI number?

The NPI number for Paul Ruzumna is 1033133111. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Paul Ruzumna located?

Paul Ruzumna practices at 1632 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 618-2500.

What is Paul Ruzumna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Paul Ruzumna enrolled in Medicare?

Yes. Paul Ruzumna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Ruzumna accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul Ruzumna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Ruzumna affiliated with any hospitals?

According to CMS data, Paul Ruzumna is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Paul Ruzumna was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.