ANGELICA REVIS DO
NPI 1093393118
Pediatrics in Skokie, IL
About Angelica Revis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELICA REVIS DO (NPI 1093393118) is an individual pediatrics provider in Skokie, Illinois, licensed in Illinois (036169338) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angelica Revis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angelica Revis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
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 60077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SKOKIE, IL 60077
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 Angelica Revis's NPI number?
The NPI number for Angelica Revis is 1093393118. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Angelica Revis located?
Angelica Revis practices at 9977 Woods Dr, Skokie, IL 60077. The listed phone number is (847) 663-8163.
What is Angelica Revis's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Angelica Revis enrolled in Medicare?
Yes. Angelica Revis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angelica Revis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Revis reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Angelica Revis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angelica Revis accept?
Health plans from Oscar Health list Angelica Revis 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 Angelica Revis was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angelica Revis, DO · NPI 1093393118
Pediatrics physician in Skokie, Illinois. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1093393118 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036169338 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 9977 WOODS DR, Skokie, IL 60077-1057
- **Phone:** (847) 663-8163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Endeavor Health Medical Group (NPI 1497701882, Evanston, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093393118) · Data from the CMS NPPES public registry.