NPIMap

Individual provider Active NPI

Angel Luis Rivera, D.O.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1629218235
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036126911 Issued in IL
Practice address
2740 W Foster Ave
LL7
Chicago, IL 60625-3500
Phone
(773) 878-8200
Fax
(773) 293-4197
NPI assigned
Feb 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036126911 IL Primary

Addresses

Primary practice location

2740 W Foster Ave
LL7
Chicago, IL 60625-3500

Mailing address

5215 N California Ave
Ste 603
Chicago, IL 60625-7014
Phone (773) 878-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813001626 IL Practitioner - Internal Medicine 5395962450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I2 Medicine LLCGroup PAC ID 4789914920, 5 clinicians

Practice addresses (Care Compare)

939 W N Ave
Suite 650
Chicago, IL 60642-8684
Phone (773) 377-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
I2 Medicine LLC Internal Medicine CurrentSince Sep 5, 2019 Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine CurrentSince Jan 16, 2016 Accepting new patients
Specialty Integrative Nutrition, LLC CurrentSince Mar 1, 2020 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jan 16, 2016 Accepting new patients

Locations

5215 N California Ave
Ste 603
Chicago, IL 60625
Phone (773) 275-1020

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

939 W North Ave
Ste 650
Chicago, IL 60642
Phone (773) 377-8000

Interoperability endpoints

  • Direct secure messaging: arivera284245@direct.myadvocateaurora.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1629218235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE",
            "address_2": "STE 603",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-878-3627",
            "fax_number": "773-293-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036126911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.