DR. RUKSANA PAPA M.D.
NPI 1235196635
Internal Medicine in Arlington Heights, IL

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
65.75/100
CMS Quality Rating
1700 W CENTRAL RD STE 40, ARLINGTON HEIGHTS, IL 60005(847) 392-5723 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Sep 27, 2018 (2 updates tracked since 2018).

About Dr. Ruksana Papa M.d. NPPES

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

DR. RUKSANA PAPA M.D. (NPI 1235196635) is an individual internal medicine provider in Arlington Heights, Illinois, licensed in Illinois (036105541) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235196635
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RUKSANA PAPACredential: M.D.
Location Address1700 W CENTRAL RD STE 40Arlington Heights, IL 60005-2477
Mailing Address1700 W Central Rd Ste 40Arlington Heights, IL 60005-2477 · (847) 392-5723
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 28, 2006
Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
NPI 1235196635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036105541
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 W CENTRAL RD STE 40, Arlington Heights, IL 60005

Other Identifiers 1

Medicaid036105541IL

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. Ruksana Papa 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 ID3274595822
PECOS Enrollment IDI20041028000194
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 34

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.

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
1,856 services330 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
1,246 services347 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,066 services143 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
686 services166 patients
Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien G0182
This service involves a doctor overseeing a patient's care in a hospice, even when the patient isn't present. The doctor regularly creates or adjusts care plans, and reviews patient reports. This supervision is needed for complex, multidisciplinary treatments. It's part of ensuring quality care under Medicare's hospice benefit.
562 services173 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
549 services254 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page 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

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

65.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.79
Promoting Interoperability85
Improvement Activities40
Cost22.74

Reported Quality Measures

Advance Care Plan
6%893 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
24%173 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
13%183 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
59%139 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%44 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
41%44 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
19%6,742 patients1/55-star benchmark: 100%
e-Prescribing
95%1,136 patients3/55-star benchmark: 100%
HIV Screening
12%201 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%657 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%4,212 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
24%687 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%102 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 786 patients
Patients totalRate: 9% · 847 patients
3%847 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers48 claims163 services$5.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers18 claims30 services$1.12 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier35 claims35 services$50.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers60 claims60 services$39.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.40 avg. paid by Medicare
Heel loop/holder, any type, with or without ankle strap, each E0951
DME-Wheelchairs · category DD000N
3 suppliers13 claims26 services$12.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
1700 W CENTRAL RD STE 40
ARLINGTON HEIGHTS, IL 60005
Nurse Practitioner (Adult Health)
1700 W CENTRAL RD STE 40
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 Ruksana Papa's NPI number?

The NPI number for Ruksana Papa is 1235196635. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Ruksana Papa located?

Ruksana Papa practices at 1700 W Central Rd Ste 40, Arlington Heights, IL 60005. The listed phone number is (847) 392-5723.

What is Ruksana Papa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ruksana Papa enrolled in Medicare?

Yes. Ruksana Papa 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.

Is Ruksana Papa affiliated with any hospitals?

According to CMS data, Ruksana Papa is affiliated with Northwestern Medicine Central Dupage Hospital, Northwest Community Hospital 1, St Alexius Medical Center and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Ruksana Papa was last updated on August 12, 2020. 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.