NPIMap

Organization Active NPI

Gilvydis Vein Clinic, LTD.

  • Vascular & Interventional Radiology Physician
  • Sycamore, IL
National Provider Identifier
1508104068
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
GILVYDIS VEIN CLINIC, LTD.
Practice address
2127 Midlands CT
#102
Sycamore, IL 60178-3173
Phone
(815) 981-4742
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Rimvydas P. Gilvydis, MDNPI 1174591663
Title
Owner
Phone
(630) 571-6770

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

2127 Midlands CT
#102
Sycamore, IL 60178-3173

Mailing address

2127 Midlands CT
#102
Sycamore, IL 60178-3173
Phone (815) 981-4742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130806000287 IL Part B Supplier - Clinic/Group Practice 6901048826 Receives reassigned benefits from 5 practitioners
Practice locations: Geneva, IL; Naperville, IL; Rockford, IL; Sycamore, IL

National Provider Directory

National Provider Directory

Locations

2631 Williamsburg Ave
Ste 202
Geneva, IL 60134
Phone (630) 208-7500

1003 S Washington St
Ste 201
Naperville, IL 60540
Phone (815) 981-4742

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 316-8346

2990 N Perryville Rd
Unit 3400
Rockford, IL 61107
Phone (815) 316-8346

1815 Mediterranean Dr
Ste 103
Sycamore, IL 60178
Phone (815) 981-4742

Practitioners & affiliated clinicians

Practitioners 7

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1508104068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "#102",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-981-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 MIDLANDS CT",
            "address_2": "#102",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783173",
            "telephone_number": "815-981-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILVYDIS VEIN CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "GILVYDIS",
        "authorized_official_first_name": "RIMVYDAS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-571-6770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.