Individual provider Active NPI

Nicholas Rizzo, M.D.

  • Internal Medicine Physician
  • South Bend, IN
National Provider Identifier
1669447272
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01092630A Issued in IN
Practice address
615 N Michigan St FL 1
South Bend, IN 46601-1033
Phone
(574) 647-3050
Fax
(574) 647-1094
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01092630A IN Primary
Internal Medicine Physician 207R00000X S4223 TX
Internal Medicine Physician 207R00000X 61331 TN
Internal Medicine Physician 207R00000X 036095309 IL

Addresses

Primary practice location

615 N Michigan St FL 1
South Bend, IN 46601-1033

Mailing address

7270 W. College Drive
Suite 102
Palos Heights, IL 60463-1180
Phone (708) 603-5980

Other practice location 1

4515 Seton Center Pkwy Ste 220
Austin, TX 78759-5784
Phone (512) 338-8388

Other practice location 2

7270 W College Dr
Suite 102
Palos Heights, IL 60463-1154
Phone (708) 603-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100624000861 IL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 7719018464 Reassigns benefits to 1 organization
I20240410000673 IN Practitioner - Internal Medicine 7719018464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians
Premiere General Medicine S CGroup PAC ID 7719159961, 2 clinicians

Practice addresses (Care Compare)

615 N Michigan St FL
1 Beacon Medical Group Hospital Spec
South Bend, IN 46601-1033
Phone (574) 647-3050

7270 W College Dr
Suite 102
Palos Heights, IL 60463-1287
Phone (708) 603-5980

Hospital & facility affiliations

  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Elara Caring III Home health agency, Tinley Park, IL, CCN 147862
  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Silver Cross Home Health Home health agency, New Lenox, IL, CCN 147452
  • Medpro Health Providers Home health agency, Tinley Park, IL, CCN 148246
  • Palos Community Hospital Hospice Hospice, Lemont, IL, CCN 141591
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4223TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group Inc CurrentSince May 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Little Company of Mary Affiliated Services Inc Internal Medicine Current Accepting new patients
Premiere General Medicine S C Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Beacon Medical Group, Inc. Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200

12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207

7270 W College Dr
Ste 102
Palos Heights, IL 60463
Phone (708) 371-1030

12261 S 80TH Ave
Palos Heights, IL 60463
Phone (708) 361-6990

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

Interoperability endpoints

  • Direct secure messaging: nicholas.rizzo.1@9131.direct.athenahealth.com

Organizations & group practices 6

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1669447272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 W. COLLEGE DRIVE",
            "address_2": "SUITE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631180",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MICHIGAN ST FL 1",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011033",
            "telephone_number": "574-647-3050",
            "fax_number": "574-647-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Seton Center Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595784",
            "country_code": "US",
            "telephone_number": "512-338-8388",
            "fax_number": "512-406-6274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7270 W College Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631154",
            "country_code": "US",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01092630A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S4223",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "61331",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.