RUSH-COPLEY MEDICAL GROUP
NPI 1629265764
Pediatrics in Oswego, IL

Active since October 03, 2007
4789 ROUTE 71, OSWEGO, IL 60543(630) 978-6204(630) 499-2399 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 21, 2018, Nov 3, 2016 (2 updates tracked since 2016).

About Rush-copley Medical Group NPPES

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

RUSH-COPLEY MEDICAL GROUP (NPI 1629265764) is a healthcare organization registered as a pediatrics in Oswego, Illinois and active in the NPI registry since October 2007. The organization lists Marcee Brummel, Exec. Director, as its authorized official.

NPPES Registry Identity

NPI1629265764
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRUSH-COPLEY MEDICAL GROUP
Location Address4789 ROUTE 71Oswego, IL 60543
Mailing Address1256 Waterford Dr Ste 230Aurora, IL 60504-4511 · (630) 499-2404 · Fax (630) 692-5518
Fax(630) 499-2399
Organization SubpartNo
Authorized OfficialMarcee BrummelExec. Director · (630) 978-4915
Enumeration DateOctober 3, 2007
Last NPPES UpdateFebruary 21, 20182 updates tracked since enumeration
✔ NPI 1629265764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 036-040569 (IL)
4789 ROUTE 71, Oswego, IL 60543

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, 7 practice at this address and 135 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
Nurse Practitioner
NPI 1750169371
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5730
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205448636
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5730
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710508973
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5730
✔ PECOSSame address
Nurse Practitioner
NPI 1306366794
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5731
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245308873
4789 ROUTE 71
Oswego, IL 60543
(630) 898-5969
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1477952729
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5730
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922533397
4789 ROUTE 71
Oswego, IL 60543
(630) 692-5730
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992121156
80 TEMPLETON DR
Oswego, IL 60543
(630) 554-3456
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1316547581
80 TEMPLETON DR
Oswego, IL 60543
(630) 554-3456
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1457609554
6701 US HIGHWAY 34
Oswego, IL 60543
(630) 646-4255
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1598000630
2186 MEADOWVIEW LN
Yorkville, IL 60560
(630) 300-3893
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1295175990
2000 OGDEN AVE
Aurora, IL 60504
(866) 565-8607
✔ PECOS5.7 mi
Internal Medicine
NPI 1003860644
2000 OGDEN AVE
Aurora, IL 60504
(866) 565-8607
✔ PECOS✔ Accepts Medicare5.7 mi
Radiation Oncology
NPI 1548467459
2000 OGDEN AVE
Aurora, IL 60504
(630) 978-6250
✔ PECOS✔ Accepts Medicare5.7 mi
Hematology/Oncology
NPI 1942295530
2000 OGDEN AVE
Aurora, IL 60504
(630) 978-6250
✔ PECOS5.7 mi
Medical Oncology
NPI 1750376349
2000 OGDEN AVE
Aurora, IL 60504
(630) 978-6250
✔ PECOS5.7 mi
Hospitalist
NPI 1275110249
2000 OGDEN AVE
Aurora, IL 60504
(866) 565-8607
✔ PECOS✔ Accepts Medicare5.7 mi
Obstetrics/Gynecology
NPI 1023436805
2020 OGDEN AVE STE 225
Aurora, IL 60504
(630) 978-4800
✔ PECOS✔ Accepts Medicare5.8 mi
Certified Nurse Midwife (CNM)
NPI 1922157734
2020 OGDEN AVE STE 225
Aurora, IL 60504
(630) 978-4800
✔ PECOS5.8 mi
Dermatology
NPI 1093246621
2020 OGDEN AVE
Aurora, IL 60504
(630) 692-5563
✔ PECOS✔ Accepts Medicare5.8 mi
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.

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 1629265764. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Rush-Copley Medical Group located?

Rush-Copley Medical Group is located at 4789 Route 71, Oswego, IL 60543. The listed phone number is (630) 978-6204.

What is Rush-Copley Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 7 practice at this address and 135 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.