1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Emergency Medicine
  6. NPI Profile

INNOVATIVE IV CARE, PLLC
NPI 1457818098
Emergency Medicine in Chicago, IL

Active since March 01, 2019CLIA 14D2308865 · Waiver
3221 N SHEFFIELD AVE STE 100, CHICAGO, IL 60657(773) 270-5600(773) 661-1821 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 6, 2022, Nov 12, 2019, Aug 21, 2019 and 2 more (5 updates tracked since 2019).

About Innovative Iv Care, Pllc NPPES

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

INNOVATIVE IV CARE, PLLC (NPI 1457818098) is a healthcare organization registered as an emergency medicine in Chicago, Illinois and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through August 5, 2028 and lists Rahul K Khare, President, as its authorized official.

NPPES Registry Identity

NPI1457818098
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameINNOVATIVE IV CARE, PLLC
Location Address3221 N SHEFFIELD AVE STE 100Chicago, IL 60657-8510
Mailing AddressPo Box 25108Belfast, ME 04915-2002 · (773) 270-5600 · Fax (773) 661-1821
Phone(773) 270-5600
Fax(773) 661-1821
Organization SubpartNo
Authorized OfficialRahul K KharePresident · (773) 799-8520
Enumeration DateMarch 1, 2019
Last NPPES UpdateDecember 6, 20225 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1457818098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
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.
3221 N SHEFFIELD AVE STE 100, Chicago, IL 60657
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Iv Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Innovative IV Care, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Emergency Medicine5
Nurse Practitioner2
Anesthesiology1
Hospice/Palliative Care1
Psychiatry1

Clinicians, nearest first (10)

Rahul Khare, MD
Emergency Medicine
NPI 1043248743
836 W WELLINGTON AVE
Chicago, IL 60657
(773) 296-7054
✔ PECOS✔ Accepts Medicare0.3 mi
Meghan Dzurovcik, APRN
Nurse Practitioner
NPI 1851945612
225 E CHICAGO AVE
Chicago, IL 60611
(312) 227-4000
✔ PECOS3.5 mi
Heather Prendergast
Emergency Medicine
NPI 1285749192
1740 W TAYLOR ST
Chicago, IL 60612
(866) 600-2273
✔ PECOS✔ Accepts Medicare5.0 mi
Manan Trivedi, MD
Anesthesiology
NPI 1194067298
1605 S MICHIGAN AVE
Chicago, IL 60616
(312) 535-5770
✔ PECOS5.8 mi
Daria Pachovsky, MD
Emergency Medicine
NPI 1215003702
2650 RIDGE AVE EMERGENCY MEDICINE RM G909
Evanston, IL 60201
(847) 570-2114
✔ PECOS✔ Accepts Medicare8.8 mi
John Zautcke
Emergency Medicine
NPI 1316046352
333 SKOKIE BLVD STE 112
Northbrook, IL 60062
(224) 205-7866
✔ PECOS✔ Accepts Medicare16 mi
Paulianne Gonzales, NP
Nurse Practitioner
NPI 1679083471
136 OGDEN AVE
Downers Grove, IL 60515
(630) 566-4810
✔ PECOS19 mi
Grace Ortman, MD
Emergency Medicine
NPI 1215391099
1 KISH HOSPITAL DR
Dekalb, IL 60115
(815) 766-7334
✔ PECOS57 mi
Ethan Weckstein, D.O.
Psychiatry
NPI 1235634403
934 S GARFIELD AVE STE A
Traverse City, MI 49686
(231) 935-0355
✔ PECOS✔ Accepts Medicare220 mi
Joshua Russell, M.D., MSC
Hospice/Palliative Care
NPI 1417274200
3215 N SEPULVEDA BLVD
Manhattan Beach, CA 90266
(424) 295-0540
✔ PECOS✔ Accepts Medicare1,758 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2308865

Innovative Primary Care · Chicago, IL
Active · expires Aug 5, 2028
CLIA Number14D2308865
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorMonica Medrano
Laboratory Phone(773) 270-5600
Laboratory LocationInnovative Primary Care1253 N Milwaukee, Chicago, IL 60622
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Innovative IV Care, PLLC's NPI number?

The NPI number for Innovative IV Care, PLLC is 1457818098. It was assigned to this organization in the NPPES registry on March 1, 2019.

Where is Innovative IV Care, PLLC located?

Innovative IV Care, PLLC is located at 3221 N Sheffield Ave Ste 100, Chicago, IL 60657. The listed phone number is (773) 270-5600.

What is Innovative IV Care, PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Innovative IV Care, PLLC enrolled in Medicare?

Yes. Innovative IV Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative IV Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Innovative IV Care, PLLC. 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. The largest specialties are Emergency Medicine (5), Nurse Practitioner (2) and Anesthesiology (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative IV Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2308865) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative IV Care, PLLC was last updated on December 6, 2022. 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.