Erick F Rivas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036141982 Issued in IL

Practice address

288 Peace Blvd
Saint Joseph, MI 49085-9562

Phone

(517) 273-1540

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MI2 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

Specialty

General Surgery

Education

Michigan State University College of Human Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avanti Wound Physicians, PLLC.Group PAC ID 7810251782, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kindred Hospital - Chicago Long-term care hospital, Northlake, IL, CCN 142008
• Rush Specialty Hospital, LLC Long-term care hospital, Chicago, IL, CCN 142015

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4

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.

• Avanti Wound Physicians, PLLC.

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1801398789

  IL

  Medicare reassignment Care Compare group Authorized official
• Vohra Wound Physicians of Il, S.C.

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1790080505
  Medicare reassignment NPD
• Wound Care Experts of America LLC

  • Family Medicine Physician
  • Harwood Heights, IL
  • NPI 1760286595

  MI

  Medicare reassignment

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

• Kindred Chicago Northlake, LLC

  • Long Term Care Hospital
  • Northlake, IL
  • NPI 1508472804

  Long-term care hospital

  Care Compare affiliation
• Kindred Chicago Northlake, LLC

  • Long Term Care Hospital
  • Chicago, IL
  • NPI 1821604125

  Long-term care hospital

  Care Compare affiliation
• Rush Specialty Hospital, LLC

  • Long Term Care Hospital
  • Chicago, IL
  • NPI 1316711096

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1851591044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E OGDEN AVE UNIT 348",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593506",
            "telephone_number": "517-273-1540",
            "fax_number": "517-827-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 PEACE BLVD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859562",
            "telephone_number": "517-273-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 E Ogden Ave Unit 348",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605593506",
            "country_code": "US",
            "telephone_number": "517-273-1540",
            "fax_number": "517-827-4909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ERICK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090493",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036141982",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301090493",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141982",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IN",
            "license": "01072759A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Rice, M.A.
• Richard W. Rademacher, Jr
• Majesty Kathren Richardson
• Monika Riedel, NP
• Sarah Riedel
• Mansour Rkain
• Suzan C Robarge, RN NP
• Sharon Elizabeth Roberts
• Thomas Roberts, DO
• Robin Zollar LLC

• Family Medicine Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.

Verify at the official NPI Registry.