Individual provider Active NPI

Svetlana Rivilis, DO

  • Family Medicine Physician
  • Spirit Lake, IA
National Provider Identifier
1063568699
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2026-0111 Issued in NM
Practice address
2323 US-71
Spirit Lake, IA 51360
Phone
(754) 270-3259
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2026-0111 NM Primary
Emergency Medicine Physician 207P00000X DO-04228 IA
Emergency Medicine Physician 207P00000X 36002 MS
Emergency Medicine Physician 207P00000X C4742 KY

Addresses

Primary practice location

2323 US-71
Spirit Lake, IA 51360

Mailing address

1825 S Ocean Dr Apt 509
Hallandale Beach, FL 33009-4978
Phone (754) 270-3259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, KY, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110902000386 IA Practitioner - Emergency Medicine 4486824224 Reassigns benefits to 7 organizations
I20251222002431 KY Practitioner - Emergency Medicine 4486824224 Reassigns benefits to 3 organizations
I20260109000056 AL Practitioner - Emergency Medicine 4486824224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Emergency Group LLC 21 clinicians

Practice addresses (Care Compare)

1 Saint Marks PL
La Grange, TX 78945-1250
Phone (979) 242-2200

Hospital & facility affiliations

  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4327ALMDEmergency Medicine Physician
C4742KYMDEmergency Medicine Physician
36002MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Healthcare CurrentSince Jun 16, 2025 Accepting new patients
Lakes Regional Healthcare Emergency Medicine CurrentSince Jun 16, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Aug 28, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jul 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Jun 16, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home Emergency Medicine CurrentSince Jun 16, 2025 Accepting new patients

Locations

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

2301 Highway 71
Spirit Lake, IA 51360
Phone (712) 336-3750

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1063568699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 S OCEAN DR APT 509",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094978",
            "telephone_number": "754-270-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 US-71",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "51360",
            "telephone_number": "754-270-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVILIS",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "DO2026-0111",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "DO-04228",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "36002",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "C4742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.