Individual provider Active NPI

Alex Ariri, NP

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1033493929
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009122 Issued in IL
Practice address
2662 Elmwood Rd
Rockford, IL 61103-1573
Phone
(815) 639-2723
NPI assigned
Oct 10, 2011
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009122 IL Primary

Addresses

Primary practice location

2662 Elmwood Rd
Rockford, IL 61103-1573

Mailing address

5079 Linden Rd Apt 1310
Rockford, IL 61109-3596
Phone (815) 519-0417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000389 IL Practitioner - Nurse Practitioner 6406011006 Reassigns benefits to 3 organizations
Practice locations: Plainfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haveric Medical LTDGroup PAC ID 0547214694, 4 clinicians

Practice addresses (Care Compare)

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100

333 N Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009122ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Aug 28, 2013 Accepting new patients
Yorkville Internists, S.C. CurrentSince May 1, 2015 Accepting new patients
Haveric Medical LTD CurrentSince Feb 27, 2013 Accepting new patients
Home Care Physicians, Inc. Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

2720 E New York St
Ste 108
Aurora, IL 60502
Phone (630) 820-7045

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

210 Springfield Ave
Joliet, IL 60435
Phone (708) 478-6382

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1033493929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5079 LINDEN RD APT 1310",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611093596",
            "telephone_number": "815-519-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031573",
            "telephone_number": "815-639-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIRI",
        "first_name": "ALEX",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.