SEAN MICHAEL RUANE (PA) – Medical Physician Assistant, NPI 1194255745

SEAN MICHAEL RUANE (PA) is a healthcare provider. based in Mokena, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085006193 (IL). The NPI Number for SEAN MICHAEL RUANE (PA) is 1194255745

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SEAN MICHAEL RUANE (PA)
NPI
1194255745
Phone
(708) 346-4044
Address
9500 BORMET DR
Enumeration Date
15 June 2017
Last Update Date
7 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083521200
Graduation Year
2017 (9 years ago)
PAC ID
4486913688
Group Practice PAC ID
6002814878
Professional Enrollment ID
I20180116001366
Address ID
IL605252600LA5101XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for SEAN MICHAEL RUANE (PA)

  • 9500, Bormet Drive, Mokena, Will County, Illinois, 60448, United States

    STE 204

    MOKENA, IL 604488399

    Phone: (708) 346-4044

    Fax: (708) 346-3287

    Type: Mailing

  • West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532658

    Phone: (708) 346-4044

    Fax: (708) 346-3287

    Type: Location

  • 21205 OWENS RD STE 100

    MOKENA, IL 604482023

    Phone: (708) 346-4044

    Fax: (708) 346-3287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: DeRoyal Industries, Inc. ($30).

Total Amount

$97

General + Research + Ownership

Payments

4

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180116001366IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg68067$0
73030X-ray of shoulder, minimum of 2 views149101$0
99214Established patient office or other outpatient visit, 30-39 minutes141113$0
20610Aspiration and/or injection of fluid from large joint8469$0
99213Established patient office or other outpatient visit, 20-29 minutes7061$0
View full utilization report →

Insurance plans in this area (ZIP 60448)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002814878View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Sports Medicine, Orthopedic SurgeryIL
Physician AssistantIL
-IL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Orthopedic SurgeryIL
Physician AssistantIL
Orthopedic SurgeryIL
Physician AssistantIL

Reviews

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Frequently asked questions

How do I look up SEAN MICHAEL RUANE (PA) by NPI?
Use NPI 1194255745 when you need to reference SEAN MICHAEL RUANE (PA) in forms, claims, or directories.
Is SEAN MICHAEL RUANE (PA) active in the national directory?
SEAN MICHAEL RUANE (PA)'s public NPI profile is in an active state.
Can you summarize SEAN MICHAEL RUANE (PA)'s specialty in plain language?
Clinically, the directory lists SEAN MICHAEL RUANE (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is SEAN MICHAEL RUANE (PA)'s primary listing?
We display Mokena, Illinois because that is what the record indicates for SEAN MICHAEL RUANE (PA).
Is SEAN MICHAEL RUANE (PA) a real provider?
This page reflects official NPPES data for NPI 1194255745. Always confirm identity and privileges with the practice and licensing boards.

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