DR. RODOLFO JAVIER SAN JUAN III MD
NPI 1881336212
Hospitalist in Elmhurst, IL

Q: What is Rodolfo San Juan's NPI number?

The NPI number for Rodolfo San Juan is 1881336212. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Rodolfo San Juan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo San Juan was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment

155 E BRUSH HILL RD, ELMHURST, IL 60126(331) 221-8952(331) 221-3782 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Mar 28, 2023, Apr 7, 2022 (3 updates tracked since 2022).

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About Dr. Rodolfo Javier San Juan Iii Md NPPES

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

DR. RODOLFO JAVIER SAN JUAN III MD (NPI 1881336212) is an individual hospitalist provider in Elmhurst, Illinois, licensed in Illinois (036175111) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains a secondary practice location in Crown Point.

NPPES Registry Identity

NPI1881336212

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RODOLFO JAVIER SAN JUAN IIICredential: MD

Location Address155 E BRUSH HILL RDElmhurst, IL 60126-5658

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700

Phone(331) 221-8952

Fax(331) 221-3782

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1881336212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036175111

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 11022553A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

155 E BRUSH HILL RD, Elmhurst, IL 60126

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Secondary Practice Location 1

Location 18449 Doubletree Dr SCrown Point, IN 46307-9360 · Phone (219) 776-8841

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. Rodolfo Javier San Juan Iii Md 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 ID6608240528

PECOS Enrollment IDI20250618003690

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.

Hospital Affiliations CMS Care Compare 2

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

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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Other Providers at the Same Location NPPES 20

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

DR. DANIEL STEVEN VRYHOF M.D.

Emergency Medicine