Individual provider Active NPI

Mary T Riggs, DO

  • Obstetrics & Gynecology Physician
  • Crystal Lake, IL
National Provider Identifier
1285799627
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-092162 Issued in IL
Practice address
750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621
Phone
(815) 356-2323
Fax
(815) 455-8130
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-092162 IL Primary

Addresses

Primary practice location

750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621

Mailing address

750 E Terra Cotta Ave Ste B
Crystal Lake, IL 60014-3621
Phone (815) 356-2323

Other identifiers 1

IdentifierTypeStateIssuer
036092162 1MedicaidIL

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
I20100612000103 IL Practitioner - Obstetrics/Gynecology 4880684760 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (815) 356-2323

1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092162ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Obstetrics & Gynecology Current Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 17, 2003 Accepting new patients
Crawford Hospital District Current Accepting new patients
Genesis Health System CurrentSince Dec 6, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 17, 2003 Accepting new patients
Crawford Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Crawford Hospital District Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2020 Accepting new patients
Freeport Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Genesis Health System CurrentSince Dec 6, 2024 Accepting new patients

Locations

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

2401 Harnish Dr
Algonquin, IL 60102
Phone (847) 458-5440

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

750 E Terra Cotta Ave
Ste B
Crystal Lake, IL 60014
Phone (815) 356-2323

260 E Congress Pkwy
Ste A
Crystal Lake, IL 60014
Phone (815) 477-0300

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

1002 N Allen St
Ste B
Robinson, IL 62454

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

855 Illini Dr
Ste 408
Silvis, IL 61282
Phone (309) 281-2140

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 11

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1285799627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "815-356-2323",
            "fax_number": "815-455-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "815-356-2323",
            "fax_number": "815-455-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "MARY",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-092162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092162 1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.