THRIVE HEALTH IV CLINIC, P.C.
NPI 1083314744
Clinic/Center - Multi-Specialty in Chicago, IL
About Thrive Health Iv Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVE HEALTH IV CLINIC, P.C. (NPI 1083314744) is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since March 2023. The organization lists Raymond Douglas, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thrive Health Iv Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thrive Health IV Clinic, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Thrive Health IV Clinic, P.C.'s NPI number?
The NPI number for Thrive Health IV Clinic, P.C. is 1083314744. It was assigned to this organization in the NPPES registry on March 9, 2023.
Where is Thrive Health IV Clinic, P.C. located?
Thrive Health IV Clinic, P.C. is located at 2001 N Halsted St Ste 200, Chicago, IL 60614. The listed phone number is (310) 363-8757.
What is Thrive Health IV Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Thrive Health IV Clinic, P.C. enrolled in Medicare?
Yes. Thrive Health IV Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrive Health IV Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Thrive Health IV Clinic, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Thrive Health IV Clinic, P.C. was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Thrive Health Iv Clinic, P.c. · NPI 1083314744
Multi-Specialty organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since March 9, 2023.
## Identity
- **NPI:** 1083314744 (Entity type: Organization)
- **Enumerated:** March 9, 2023
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Thrive Health Iv Clinic P.c.)
- **Authorized official:** Raymond Douglas, PRESIDENT
## Practice location
- **Address:** 2001 N HALSTED ST STE 200, Chicago, IL 60614-4365
- **Phone:** (310) 363-8757 · **Fax:** (310) 363-8758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083314744) · Data from the CMS NPPES public registry.