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DR. CLAUDIO RIVERA PHD
NPI 1083271191
Psychologist - Clinical in Chicago, IL

Active since May 23, 2019PECOS Enrolled
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-2552 Get Directions Write a Review

NPPES record last updated: May 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Claudio Rivera Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLAUDIO RIVERA PHD (NPI 1083271191) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071009806) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1083271191
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CLAUDIO RIVERACredential: PHD
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago AveChicago, IL 60611-2991
Phone(312) 227-2552
Sole ProprietorYes
Enumeration DateMay 23, 2019
✔ NPI 1083271191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071009806
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
225 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-2552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Claudio Rivera Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Claudio Rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
7.5 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
7.5 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claudio Rivera's NPI number?

The NPI number for Claudio Rivera is 1083271191. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Claudio Rivera located?

Claudio Rivera practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-2552.

What is Claudio Rivera's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Claudio Rivera enrolled in Medicare?

Yes. Claudio Rivera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claudio Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudio Rivera reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claudio Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudio Rivera accept?

Health plans from Oscar Health list Claudio Rivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claudio Rivera was last updated on May 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.