Individual provider Active NPI

Rimvydas Gilvydis, MD

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1174591663
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-100123 Issued in IL
Practice address
1401 E State St
Rockford, IL 61104-2315
Phone
(815) 489-4760
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036-100123 IL Primary

Addresses

Primary practice location

1401 E State St
Rockford, IL 61104-2315

Mailing address

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4760

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
I20050916000233 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1850324120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1340 Charles St
Suite 404
Rockford, IL 61104-2200
Phone (815) 316-8346

Merit-based Incentive Payment System (MIPS)

Final score
95.88 of 100Reported as individual
Quality
91.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-100123ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gilvydis Vein Clinic, LTD. Diagnostic Radiology CurrentSince Jun 1, 2013 Accepting new patients
Radiology Consultants of Rockford LTD Diagnostic Radiology CurrentSince Jul 1, 2001 Accepting new patients

Locations

39020 Eagle Way
Chicago, IL 60678

2631 Williamsburg Ave
Ste 202
Geneva, IL 60134
Phone (630) 208-7500

1003 S Washington St
Ste 201
Naperville, IL 60540
Phone (815) 981-4742

2990 N Perryville Rd
Unit 3400
Rockford, IL 61107
Phone (815) 316-8346

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 316-8346

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2127 Midlands Ct
Unit 102
Sycamore, IL 60178
Phone (815) 758-3057

1815 Mediterranean Dr
Ste 103
Sycamore, IL 60178
Phone (815) 981-4742

Interoperability endpoints

  • Direct secure messaging: rimvydas.gilvydis.1@24314.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24314/brand/2/csg/1/fhir/r4

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1174591663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "815-489-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "815-489-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILVYDIS",
        "first_name": "RIMVYDAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-100123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.