Edgar Rios M.D., S.C

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036048072 Issued in IL

Legal business name

EDGAR RIOS M.D., S.C

Practice address

4152 W 26TH St
Chicago, IL 60623-4312

Phone

(773) 521-1100

Fax

(773) 521-9032

NPI assigned

May 15, 2007

Last updated

Aug 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo R Rios, MDNPI 1881957405

Title

Urology

Phone

(773) 521-1100

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo R Rios, M.D.

  • Urology Physician
  • Chicago, IL
  • NPI 1881957405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1699981886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232508",
            "telephone_number": "773-521-1100",
            "fax_number": "773-521-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234312",
            "telephone_number": "773-521-1100",
            "fax_number": "773-521-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR RIOS M.D., S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "UROLOGY",
        "authorized_official_telephone_number": "773-521-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036048072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048072",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "0021608512",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881957405",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eden Management LTD (Eden Supportive Living)
• Cuoghi C Edens, MD
• Kara Eder, DPT
• Stephen Maurice Edfors, LCPC, CADC
• Edgar J Vargas, MD LTD
• Lauren Edgar, MD
• Alissa Ann Edge, MA, LCPC
• Edgebrook Chiropractic Health Center
• Edgebrook Foot & Ankle Clinic, Inc
• Edgebrook Open MRI Inc

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.