Individual provider Active NPI

Luis L Rivera, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1619396371
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141783 Issued in IL
Practice address
1713 S Ashland Ave
Chicago, IL 60608-2014
Phone
(312) 413-4179
Fax
(312) 413-4188
NPI assigned
Apr 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036141783 IL Primary

Addresses

Primary practice location

1713 S Ashland Ave
Chicago, IL 60608-2014

Mailing address

1713 S Ashland Ave
Chicago, IL 60608-2014
Phone (312) 413-4179

Other practice location 1

1220 S Wood St
Chicago, IL 60608-1202
Phone (312) 996-2000

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
I20170105002316 IL Practitioner - Family Practice 6901187996 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, shared by 24 NPIs, 1,134 clinicians

Practice addresses (Care Compare)

1220 S Wood St
Chicago, IL 60608-1202
Phone (312) 413-3282

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036141783ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Family Medicine CurrentSince Aug 15, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Jul 6, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 30, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jan 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Infant Welfare Society of Chicago CurrentSince Dec 25, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 15, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

1713 S Ashland Ave
Chicago, IL 60608
Phone (312) 421-5382

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

3348 W 87th St
Chicago, IL 60652
Phone (773) 776-4471

7702 Solution Ctr
Chicago, IL 60677

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

3600 W Fullerton Ave
Chicago, IL 60647
Phone (773) 782-2800

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: luis.rivera.1@3547.direct.athenahealth.com
  • Direct secure messaging: lrivera79200@uihealth.direct-ci.com

Organizations & group practices 9

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 1

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1619396371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082014",
            "telephone_number": "312-413-4179",
            "fax_number": "312-413-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082014",
            "telephone_number": "312-413-4179",
            "fax_number": "312-413-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081202",
            "country_code": "US",
            "telephone_number": "312-996-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUIS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.