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SCOTT J. RUSCO D.O. INC
NPI 1497958029
Family Medicine in Oak Forest, IL

Active since June 10, 2007CLIA 14D2163787 · Waiver
6360 159TH ST, SUITES D & E, OAK FOREST, IL 60452(708) 535-6204(708) 535-6431 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scott J. Rusco D.o. Inc NPPES

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

SCOTT J. RUSCO D.O. INC (NPI 1497958029) is a healthcare organization registered as a family medicine in Oak Forest, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Scott J Rusco, Physician, as its authorized official.

NPPES Registry Identity

NPI1497958029
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTT J. RUSCO D.O. INC
Location Address6360 159TH ST, SUITES D & EOak Forest, IL 60452-2725
Mailing Address6360 159th St, Suites D & EOak Forest, IL 60452-2725 · (708) 535-6204 · Fax (708) 535-6431
Phone(708) 535-6204
Fax(708) 535-6431
Organization SubpartNo
Authorized OfficialScott J RuscoPhysician · (708) 535-6204
Enumeration DateJune 10, 2007
Last NPPES UpdateDecember 14, 2007
✔ NPI 1497958029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6360 159TH ST, Oak Forest, IL 60452
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Other Identifiers 1

Medicare PIN627310IL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott J. Rusco D.o. Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scott J. Rusco D.O. Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Rusco, D.O.
Family Practice
NPI 1023050150
6360 159TH ST SUITES D& E
Oak Forest, IL 60452
(708) 535-6204
✔ PECOS✔ Accepts MedicareSame address

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

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 of Waiver 14D2163787

Scott J Rusco, D O, Inc (private Office) · Oak Forest, IL
Active · expires Mar 20, 2027
CLIA Number14D2163787
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorScott J. Rusco
Laboratory Phone(708) 535-6204
Laboratory LocationScott J Rusco, D O, Inc (private Office)6360 W 159th St - Ste D & E, Oak Forest, IL 60452
CLIA data matches this NPI record on: Name Phone
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 Scott J. Rusco D.O. Inc's NPI number?

The NPI number for Scott J. Rusco D.O. Inc is 1497958029. It was assigned to this organization in the NPPES registry on June 10, 2007.

Where is Scott J. Rusco D.O. Inc located?

Scott J. Rusco D.O. Inc is located at 6360 159th St Suites D & E, Oak Forest, IL 60452. The listed phone number is (708) 535-6204.

What is Scott J. Rusco D.O. Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scott J. Rusco D.O. Inc enrolled in Medicare?

Yes. Scott J. Rusco D.O. Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott J. Rusco D.O. Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Scott J. Rusco D.O. Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scott J. Rusco D.O. Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2163787) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott J. Rusco D.O. Inc was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.