Individual provider Active NPI

Rick A Chitwood, DO

  • Pediatrics Physician
  • McHenry, IL
National Provider Identifier
1609977305
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
035-083318 Issued in IL
Practice address
3922 Mercy Dr
McHenry, IL 60050-3179
Phone
(815) 344-4499
Fax
(815) 344-4479
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 035-083318 IL Primary

Addresses

Primary practice location

3922 Mercy Dr
McHenry, IL 60050-3179

Mailing address

3922 Mercy Dr
McHenry, IL 60050-3151
Phone (815) 344-4499

Other practice location 1

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Other practice location 2

500 W Highway 22
Barrington, IL 60010-2313
Phone (847) 381-3000

Other practice location 3

875 South Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other identifiers 2

IdentifierTypeStateIssuer
036083318 2MedicaidIL
CHITWRICOtherWIMERCY CARE NUMBER

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
I20050801000705 IL Practitioner - Pediatric Medicine 9133157159 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035-083318ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Jun 24, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 24, 2019 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

500 W Il Route 22
Barrington, IL 60010
Phone (847) 381-3000

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

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

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

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

Interoperability endpoints

  • Direct secure messaging: rchitwood4000@direct.mhemail.org

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1609977305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-344-4499",
            "fax_number": "815-344-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503179",
            "telephone_number": "815-344-4499",
            "fax_number": "815-344-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "fax_number": "815-943-0659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Highway 22",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600102313",
            "country_code": "US",
            "telephone_number": "847-381-3000",
            "fax_number": "847-382-4755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 South Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHITWOOD",
        "first_name": "RICK",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "035-083318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083318 2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE NUMBER",
            "identifier": "CHITWRIC",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.