TONI ANN RIVEROS M.D.
NPI 1376926402
Emergency Medicine in Elgin, IL

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
1425 N RANDALL RD, ELGIN, IL 60123(242) 783-1920 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Toni Ann Riveros M.d. NPPES

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

TONI ANN RIVEROS M.D. (NPI 1376926402) is an individual emergency medicine provider in Elgin, Illinois, licensed in Illinois (036-156215) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is affiliated with Advocate Sherman Hospital.

NPPES Registry Identity

NPI1376926402
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTONI ANN RIVEROSCredential: M.D.
Location Address1425 N RANDALL RDElgin, IL 60123-2300
Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-6000
Sole ProprietorNo
Enumeration DateJuly 7, 2015
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
NPI 1376926402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036-156215
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1425 N RANDALL RD, Elgin, IL 60123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Toni Ann Riveros M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678867868
PECOS Enrollment IDI20210823003042
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
186 services116 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services31 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
28 services21 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
22 services20 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Radiology (Vascular & Interventional Radiology)
1425 N RANDALL RD
ELGIN, IL 60123
Clinic/Center (Medical Specialty)
1425 N RANDALL RD, SHERMAN HOSP, ST 1-2150
ELGIN, IL 60123
Emergency Medicine
1425 N RANDALL RD, EMERGENCY DEPARTMENT
ELGIN, IL 60123
Nurse Practitioner
1425 N RANDALL RD
ELGIN, IL 60123
Clinical Nurse Specialist (Acute Care)
1425 N RANDALL RD
ELGIN, IL 60123
Clinic/Center (Medical Specialty)
1425 N RANDALL RD, SHERMAN HOSP, SUITE 1-2150
ELGIN, IL 60123
Nurse Practitioner (Adult Health)
1425 N RANDALL RD
ELGIN, IL 60123
General Acute Care Hospital
1425 N RANDALL RD
ELGIN, IL 60123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376926402, enumerated as an "individual" on July 07, 2015.

The provider is located at 1425 N RANDALL RD ELGIN, IL 60123 and the phone number is (242) 783-1920.

Emergency Medicine with taxonomy code 207P00000X.

Toni Riveros is affiliated with: ADVOCATE SHERMAN HOSPITAL.