Individual provider Active NPI

Christopher Michael Rivard, MD

  • Family Medicine Physician
  • Rolling Meadows, IL
National Provider Identifier
1396204525
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036158420 Issued in IL
Practice address
5301 Keystone CT
Rolling Meadows, IL 60008-3811
Phone
(847) 392-5440
Fax
(847) 749-0593
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125073920 IL
Family Medicine Physician 207Q00000X 036158420 IL Primary

Addresses

Primary practice location

5301 Keystone CT
Rolling Meadows, IL 60008-3811

Mailing address

5301 Keystone CT
Rolling Meadows, IL 60008-3811
Phone (847) 392-5440

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
I20220816002424 IL Practitioner - Family Practice 4385978162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Dermatology SCGroup PAC ID 8628010550, 4 clinicians

Practice addresses (Care Compare)

5301 Keystone CT
Rolling Meadows, IL 60008-3811
Phone (847) 392-5440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision127
Removal of skin lesions1106
Removal or shaving of skin growth16
Skin biopsy166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Dermatology SC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

5301 Keystone Ct
Rolling Meadows, IL 60008
Phone (847) 392-5440

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1396204525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 KEYSTONE CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083811",
            "telephone_number": "847-392-5440",
            "fax_number": "847-749-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 KEYSTONE CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083811",
            "telephone_number": "847-392-5440",
            "fax_number": "847-749-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125073920",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036158420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.