RUPERTO MAYUGA (M.D.) – Cardiovascular Disease Physician, NPI 1073557740

RUPERTO MAYUGA (M.D.) is a healthcare provider. based in Darien, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036075687 (IL). The NPI Number for RUPERTO MAYUGA (M.D.) is 1073557740

Main info

Male
Sole Proprietor
Name
RUPERTO MAYUGA (M.D.)
NPI
1073557740
Phone
(773) 281-7660
Address
18W 163 HOLLY AVE
Enumeration Date
15 June 2006
Last Update Date
17 June 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RUPERTO MAYUGA (M.D.)

  • 18W 163 HOLLY AVE

    DARIEN, IL 60561

    Phone: (773) 281-7660

    Fax: (773) 281-0841

    Type: Mailing

  • Howard Brown Health Diversey, 2800, North Sheridan Road, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    SUITE 303

    CHICAGO, IL 606576156

    Phone: (773) 281-7660

    Fax: (773) 281-0841

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2008-02-29

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
I20080229000209ICardiovascular Disease (Cardiology)ILTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60561)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for RUPERTO MAYUGA (M.D.)?
RUPERTO MAYUGA (M.D.) — NPI 1073557740 — is the standard way to identify this listing.
Does CMS list RUPERTO MAYUGA (M.D.) as active?
Yes — RUPERTO MAYUGA (M.D.) is active in the NPI listing used on this page.
What is RUPERTO MAYUGA (M.D.)'s primary classification?
Cardiovascular Disease Physician is the headline specialty for RUPERTO MAYUGA (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for RUPERTO MAYUGA (M.D.)?
RUPERTO MAYUGA (M.D.)'s geographic hint is Darien, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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