Individual provider Active NPI

Irene Silva, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1114910692
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036061415 Issued in IL
Practice address
539 N Dearborn St
Chicago, IL 60654-4812
Phone
(312) 549-4400
Fax
(312) 549-4401
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036061415 IL Primary

Addresses

Primary practice location

539 N Dearborn St
Chicago, IL 60654-4812

Mailing address

539 N Dearborn
Chicago, IL 60654
Phone (312) 549-4400

Other identifiers 1

IdentifierTypeStateIssuer
036061415MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000775 IL Practitioner - Internal Medicine 0648236570 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Internal Medicine CurrentSince Jan 13, 2020 Accepting new patients
Chicago Lake Shore Medical Associates,LTD Internal Medicine Past Accepting new patients

Locations

1725 W Harrison St
Ste 328
Chicago, IL 60612
Phone (312) 942-8106

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

539 N Dearborn St
Chicago, IL 60654
Phone (312) 549-4400

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 10
Chicago, IL 60612
Phone (312) 563-3700

Interoperability endpoints

  • Direct secure messaging: isilva630@direct.rush.rush-health.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114910692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N DEARBORN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-549-4400",
            "fax_number": "312-549-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544812",
            "telephone_number": "312-549-4400",
            "fax_number": "312-549-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036061415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.