Organization Active NPI

Geneva Family Practice Associates, S.C.

  • Family Medicine Physician
  • Batavia, IL
National Provider Identifier
1285641811
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-047518 Issued in IL
Legal business name
GENEVA FAMILY PRACTICE ASSOCIATES, S.C.
Practice address
815 N Randall Rd
Batavia, IL 60510-1992
Phone
(630) 232-1818
Fax
(630) 232-1868
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Dr. Robert R Rivers, M.D.NPI 1053359182
Title
President
Phone
(630) 232-1818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-047518 IL Primary

Addresses

Primary practice location

815 N Randall Rd
Batavia, IL 60510-1992

Mailing address

815 N Randall Rd
Batavia, IL 60510-1992
Phone (630) 232-1818

Other identifiers 1

IdentifierTypeStateIssuer
036047518MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000382 IL Part B Supplier - Clinic/Group Practice 8224089339 Receives reassigned benefits from 2 practitioners
Practice locations: Geneva, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0971657Geneva Family Practice815 N Randall Rd, Batavia, IL 60510Provider-performed microscopyMar 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1285641811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N RANDALL RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101992",
            "telephone_number": "630-232-1818",
            "fax_number": "630-232-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N RANDALL RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101992",
            "telephone_number": "630-232-1818",
            "fax_number": "630-232-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA FAMILY PRACTICE ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-232-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-047518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.