RIVERSIDE EMERGENCY PHYSICIANS, LLC
NPI 1548969181
Emergency Medicine in Kankakee, IL

Q: What is Riverside Emergency Physicians, LLC's NPI number?

The NPI number for Riverside Emergency Physicians, LLC is 1548969181. It was assigned to this organization in the NPPES registry on March 2, 2023.

Q: What is Riverside Emergency Physicians, LLC's specialty?

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

Active since March 02, 2023

350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Mar 2, 2023 (2 updates tracked since 2023).

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About Riverside Emergency Physicians, Llc NPPES

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

RIVERSIDE EMERGENCY PHYSICIANS, LLC (NPI 1548969181) is a healthcare organization registered as an emergency medicine in Kankakee, Illinois and active in the NPI registry since March 2023. The organization lists Kim Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1548969181

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameRIVERSIDE EMERGENCY PHYSICIANS, LLC

Location Address350 N WALL STKankakee, IL 60901-2901

Mailing AddressPo Box 35222Belfast, ME 04915-0630 · (770) 874-5400

Phone(815) 933-1671

Organization SubpartNo

Authorized OfficialKim LarsenDirector Of Credentialing · (770) 874-5400

Enumeration DateMarch 2, 2023

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1548969181 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.

350 N WALL ST, Kankakee, IL 60901

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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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 61 clinicians reassign Medicare billing to Riverside Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine47

Nurse Practitioner13

Critical Care (Intensivists)1

Nearest to this location (20)

See all 61

Jacob Gianuzzi, DO

Emergency Medicine

NPI 1275114274