Active NPI
Nicholas Rizzo, M.D.
- Internal Medicine Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01092630A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Elara Caring III
- Advocate Home Health Care Serv
- Silver Cross Home Health
- Medpro Health Providers
- Palos Community Hospital Hospice
- Northwestern Medicine Central Dupage Hospital
- Memorial Hospital of South Bend
- Palos Community Hospital
- Advocate Christ Hospital & Medical Center
- Osf Little Company of Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4223 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group Inc | Current | 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 | Current | Accepting new patients |
| Beacon Medical Group, Inc. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1437584364
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
-
- Orthopaedic Surgery Physician
- South Bend, IN
- NPI 1831149525
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Home Health Agency
- Tinley Park, IL
- NPI 1932322187
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- Home Health Agency
- Tinley Park, IL
- NPI 1073820049
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.