Riverview Physicians, S.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RIVERVIEW PHYSICIANS, S.C.

Practice address

70 Meadowview Ctr
Suite 300
Kankakee, IL 60901-2047

Phone

(815) 935-1100

Fax

(815) 937-5966

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nusrat Ali Khan, MD

Title

Co-Owner

Phone

(815) 935-1100

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory T Trapp, M.D.

  • Hospitalist Physician
  • Boise, ID
  • NPI 1851407944

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1629180666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-935-1100",
            "fax_number": "815-937-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEADOWVIEW CTR",
            "address_2": "SUITE 300",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012047",
            "telephone_number": "815-935-1100",
            "fax_number": "815-937-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW PHYSICIANS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "815-935-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6862",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04632072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Senior Living Center (Miller Health Care Center)
• Riverview OB-GYN, LTD
• Riverwest Pharmacy LLC
• Robert a. Raley DPM SC
• Amitrius Robinson
• Paula T Robinson, PTA
• Ana Caren Rodriguez

• Nurse Practitioner in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.