NPIMap

Individual provider Active NPI

Randall McGivney, DO

  • Clinical Pathology/Laboratory Medicine Physician
  • Oak Park, IL
National Provider Identifier
1710917836
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
036-083483 Issued in IL
Practice address
3 Erie CT
Oak Park, IL 60302-2519
Phone
(708) 763-6667
Fax
(708) 383-7056
NPI assigned
Jul 4, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036.083483 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036-083483 IL
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 036-083483 IL Primary

Addresses

Primary practice location

3 Erie CT
Oak Park, IL 60302-2519

Mailing address

PO Box 5966
Carol Stream, IL 60197-5966
Phone (877) 861-9294

Other practice location 1

840 S Wood St
Chicago, IL 60612-4325
Phone (312) 355-6281

Other identifiers 1

IdentifierTypeStateIssuer
036083483MedicaidIL

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
I20080227000780 IL Practitioner - Pathology 4981788056 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Oklahoma State University College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Laboratory Physicians SCGroup PAC ID 3173572054, 6 clinicians
Comprehensive Pathology Services SCGroup PAC ID 6002054954, 7 clinicians
Illinois Pathology Associates, LTD.Group PAC ID 1951579838, 3 clinicians

Practice addresses (Care Compare)

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (708) 915-3786

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (630) 581-6503

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 383-6200

840 S Wood St
Chicago, IL 60612-4325
Phone (312) 996-6666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-083483ILMDAnatomic Pathology & Clinical Pathology Physician
036.083483ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Laboratory Physicians SC Anatomic Pathology & Clinical Pathology CurrentSince Jun 19, 2025 Accepting new patients
Illinois Pathology Associates, LTD. Clinical Pathology/Laboratory Medicine CurrentSince Jul 1, 2011 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2024 Accepting new patients
Cook County Current Accepting new patients
SCH Laboratory Physicians, SC Anatomic Pathology & Clinical Pathology CurrentSince Nov 12, 2023 Accepting new patients
Cook County Anatomic Pathology & Clinical Pathology CurrentSince Jan 18, 2024 Accepting new patients
Cook County CurrentSince Jan 18, 2024 Accepting new patients
Comprehensive Pathology Services, S.C. Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 2026 Accepting new patients
CML-Chicago Market Labs, Inc. Past Accepting new patients
VHS of Illinois Inc Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

Carol Stream, IL 60122

Dept
#4353
Carol Stream, IL 60122

1819 W Polk St
Chicago, IL 60612
Phone (312) 996-6604

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: rmcgivney175814@uihealth.direct-ci.com
  • Direct secure messaging: rmcgivneymd347272@uchospital.direct-ci.com

Organizations & group practices 11

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 6

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1710917836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5966",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975966",
            "telephone_number": "877-861-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-6667",
            "fax_number": "708-383-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124325",
            "country_code": "US",
            "telephone_number": "312-355-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGIVNEY",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.083483",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036-083483",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IL",
            "license": "036-083483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083483",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.