Active NPI
Joseph R. Raviv, MD
- Otolaryngology Physician
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036110135
- Practice address
- 501 Skokie Blvd
Northbrook, IL 60062-2802 - Phone
- (847) 504-3300
- Fax
- (847) 504-3305
- NPI assigned
- May 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036110135 | IL | Primary |
Addresses
Primary practice location
501 Skokie Blvd
Northbrook, IL 60062-2802
Mailing address
501 Skokie Blvd
Northbrook, IL 60062-2802
Phone (847) 504-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jraviv21564@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Northwestern University Feinberg Medical School, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300
2650 Ridge Ave
Evanston, IL 60201-1700
501 Skokie Blvd
Northbrook, IL 60062-2802
Phone (847) 504-2300
9669 Kenton Ave
Suite 206
Skokie, IL 60076-1226
Phone (847) 676-1333
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110135 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Otolaryngology | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
501 Skokie Blvd
Northbrook, IL 60062
Phone (847) 504-2300
9669 Kenton Ave
Ste 206
Skokie, IL 60076
Phone (847) 504-3300
Interoperability endpoints
- jraviv21564@direct.northshore.org
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Otolaryngology
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1720038995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622802",
"telephone_number": "847-504-3300",
"fax_number": "847-504-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SKOKIE BLVD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622802",
"telephone_number": "847-504-3300",
"fax_number": "847-504-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIV",
"first_name": "JOSEPH",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036110135",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jraviv21564@direct.northshore.org",
"affiliation": "N",
"address_1": "501 Skokie Blvd",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.