Active NPI
Jose Rivera Guerrero, M.D.
- Internal Medicine Physician
- Crest Hill, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01078841A
- Practice address
- 16003 Executive Dr
Crest Hill, IL 60403-0500 - Phone
- (815) 280-5796
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.142242 | IL | |
| Hospitalist Physician | 208M00000X | 036.142242 | IL | |
| Internal Medicine Physician | 207R00000X | 01078841A | IN | Primary |
Addresses
Primary practice location
16003 Executive Dr
Crest Hill, IL 60403-0500
Mailing address
16003 Executive Dr
Crest Hill, IL 60403-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419001638 | TX | Practitioner - Internal Medicine | 5597935874 | Reassigns benefits to 1 organization |
| I20170426001894 | IL | Practitioner - Internal Medicine | 5597935874 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harold Jaimes, M.D. P.CPremiumhealthcare PC
Practice addresses (Care Compare)
3153 W Fullerton Ave
Chicago, IL 60647-2809
Phone 7733954600100
3800 Highland Ave
Suite 111
Downers Grove, IL 60515-1558
Phone (630) 434-0020
Hospital & facility affiliations
- Advocate Good Samaritan Hospital
- Silver Cross Hospital and Medical Centers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142242 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premiumhealthcare PC | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Harold Jaimes, M.D. P.C | Internal Medicine | Current | Accepting new patients |
| Harold Jaimes, M.D., S.C. | Internal Medicine | Current | Accepting new patients |
| Associated Cardiology Consultants of New Mexico | Past | Accepting new patients |
Locations
6342 S Pulaski Rd
Chicago, IL 60629
Phone (773) 284-8601
3153 W Fullerton Ave
Chicago, IL 60647
Phone (773) 278-6604
16003 Executive Dr
Crest Hill, IL 60403
Phone (815) 744-2344
3800 Highland Ave
Ste 111
Downers Grove, IL 60515
Phone (630) 241-3779
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJGFBA/Endpoint/BJGFBA
- jriveraguerrero251866@direct.myadvocateaurora.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Crest Hill, IL
- NPI 1386184448
IL, Internal Medicine
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1295775146
IL, Internal Medicine
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine, TX
-
- Internal Medicine Physician
- Downers Grove, IL
- NPI 1487841904
Internal Medicine
-
- Cardiovascular Disease Physician
- Las Cruces, NM
- NPI 1609960624
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
Hospital
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1316190028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16003 EXECUTIVE DR",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604030500",
"fax_number": "708-923-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16003 EXECUTIVE DR",
"city": "CREST HILL",
"state": "IL",
"postal_code": "604030500",
"telephone_number": "815-280-5796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA GUERRERO",
"first_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-25",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.142242",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036.142242",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01078841A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crest Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.