| Dr Aldo Carmen Ruffolo, DO | |
|
907 W Lincoln Ave, Charleston, IL 61920-2413 | |
| (217) 345-2100 | |
| (217) 345-8366 |
| Full Name | Dr Aldo Carmen Ruffolo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 907 W Lincoln Ave, Charleston, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235124561 | NPI | - | NPPES |
| 036100163 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036100163 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Borgess Medical Center | Kalamazoo, MI | Hospital |
| Mountain Vista Medical Center, Lp | Mesa, AZ | Hospital |
| St Luke's Medical Center | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shps Pllc | 7315325933 | 16 |
| Gordon Grado Md Inc | 3971581166 | 6 |
| Shps Pllc | 7315325933 | 16 |
| Shps Pllc | 7315325933 | 16 |
| Vhs Physicians Of Michigan | 8921289760 | 212 |
| Shps Pllc | 7315325933 | 16 |
| Entity Name | Decatur Radiology Physicians Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640977 PECOS PAC ID: 1658353974 Enrollment ID: O20040602000158 |
| Entity Name | Foti Chronopoulos Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508922402 PECOS PAC ID: 2668426651 Enrollment ID: O20050311000896 |
| Entity Name | Elk Grove Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386730810 PECOS PAC ID: 9133169766 Enrollment ID: O20050503001144 |
| Entity Name | Radiology Physician Solutions Of West Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427437367 PECOS PAC ID: 3577876218 Enrollment ID: O20160307002077 |
| Entity Name | Ar Telemedicine Of Illinois Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437693355 PECOS PAC ID: 6305120213 Enrollment ID: O20170221000950 |
| Entity Name | Sheridan Radiology Services Of Pinellas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083007454 PECOS PAC ID: 7517119407 Enrollment ID: O20180611001556 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275997934 PECOS PAC ID: 4688762149 Enrollment ID: O20180808002325 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881339448 PECOS PAC ID: 7315325933 Enrollment ID: O20220610001452 |
| Entity Name | Ihs Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20230306000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Aldo Carmen Ruffolo, DO 907 W Lincoln Ave, Po Box 770, Charleston, IL 61920-2413 Ph: (312) 576-4285 | Dr Aldo Carmen Ruffolo, DO 907 W Lincoln Ave, Charleston, IL 61920-2413 Ph: (217) 345-2100 |
Jayasiri Ravinath Fernando, Radiology Medicare: Not Enrolled in Medicare Practice Location: 907 W Lincoln Ave, Charleston, IL 61920 Phone: 217-345-2100 Fax: 217-345-8366 | |
Kan Y Wu, MD Radiology Medicare: Medicare Enrolled Practice Location: 907 West Lincoln Ave, Charleston, IL 61920 Phone: 217-345-2500 Fax: 217-345-8366 |