DR. TOHFA MANJI RUDA (DO) – Integrative Medicine Physician, NPI 1427215680
Integrative Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
47 PREVENTIVE MEDICINE in IL
Provider Addresses for DR. TOHFA MANJI RUDA (DO)
1273 N MILWAUKEE AVE
CHICAGO, IL 606229318
Phone: (773) 377-9910
Fax: (773) 377-9941
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
North California Avenue, East Garfield Park, Chicago, Cook County, Illinois, 60625, United States
CHICAGO, IL 606187702
Phone: (773) 463-3460
Fax: (773) 463-3449
Type: Mailing
1273 N Milwaukee Ave
Chicago, IL 606229318
Phone: (773) 377-9910
Fax: (773) 377-9941
Type: Location
4440 W. 95TH STREET, OUTPATIENT PAVILION 8TH FLOOR
OAK LAWN, IL 604532600
Phone: (708) 684-9560
Fax: (708) 520-3002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-08-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110831000219 | I | Preventive Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 31 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 51 | 29 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 22 | 22 | $0 |
| G0008 | Administration of influenza virus vaccine | 13 | 13 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60622)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | IL | |
| A N E S T H E S I O L O G Y | IL | |
| - | MN | |
| - | IL | |
| - | IL | |
| Rheumatology, Internal Medicine | IL | |
| - | IL | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.