Marissa Liveris, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004770 Issued in IL

Practice address

3825 Highland Ave Ste 2B
Downers Grove, IL 60515-1548

Phone

(224) 715-7485

Fax

(630) 852-4050

NPI assigned

Sep 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Northwestern University Feinberg Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Associates of Dupage, P.C.Group PAC ID 0840332565, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: liveris.marissa.003.0090427@avh.meditab.direct-ci.com

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.

• Allergy and Asthma Associates of Dupage, P.C.

  • Allergy Physician
  • Naperville, IL
  • NPI 1134252869
  Medicare reassignment Care Compare group
• Children'S Asthma Respiratory & Exercise Specialists

  • Medical Specialty Clinic/Center
  • Glenview, IL
  • NPI 1922134808
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1255766531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E HURON ST STE 1-200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112909",
            "telephone_number": "312-503-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 2B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151548",
            "telephone_number": "224-715-7485",
            "fax_number": "630-852-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERIS",
        "first_name": "MARISSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Litterst
• Little Chatterbox Therapy Services
• Little Green Pipsqueak
• Chenyi Liu, OD
• Christina Georgopoulos Livak, M.D.
• Livia Counseling
• Jeanne Livorsi-Moore, NP
• Joan C Llewellyn-Burns, DT
• Kelly Ann Llewellyn, LCPC
• Tina Lloyd, LPN

• Physician Assistant in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.