LUIS L RIVERA M.D.
NPI 1619396371
Family Medicine in Chicago, IL

Q: What is Luis Rivera's NPI number?

The NPI number for Luis Rivera is 1619396371. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Luis Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Rivera was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

1713 S ASHLAND AVE, CHICAGO, IL 60608(312) 413-4179(312) 413-4188 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, Dec 11, 2024, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

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About Luis L Rivera M.d. NPPES

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

LUIS L RIVERA M.D. (NPI 1619396371) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036141783) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1619396371

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameLUIS L RIVERACredential: M.D.

Location Address1713 S ASHLAND AVEChicago, IL 60608-2014

Mailing Address1713 S Ashland AveChicago, IL 60608-2014 · (312) 413-4179 · Fax (312) 413-4188

Phone(312) 413-4179

Fax(312) 413-4188

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 9, 2014

Last NPPES UpdateFebruary 11, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1619396371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036141783

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1713 S ASHLAND AVE, Chicago, IL 60608

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Secondary Practice Location 1

Location 11220 S Wood StChicago, IL 60608-1202 · Phone (312) 996-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis L Rivera 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 ID6901187996

PECOS Enrollment IDI20170105002316

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.

Medicare Billing Reassignments

Medicare enrollment records show Luis Rivera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Board Of Trustees Of The University Of Illinois

0.6 mi

Federally Qualified Health Center (FQHC)

1220 S. WOOD STREET, UIH-MILE SQUARE HEALTH CENTER
Chicago, IL 60608

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1174554331 (Illinois)
113 clinicians in this Medicare group

NPI 1669493466 (312) 413-1261

Infant Welfare Society Of Chicago

5.3 mi

Federally Qualified Health Center (FQHC)

3600 W FULLERTON AVE
Chicago, IL 60647

Reassigned Medicare billing, Illinois enrollment
18 clinicians in this Medicare group

NPI 1497872543 (773) 782-2800

Oak Street Health Physicians Group, PC

10 mi

Primary Care

1715 E 95TH ST
Chicago, IL 60617

Reassigned Medicare billing, Illinois enrollment
343 clinicians in this Medicare group

NPI 1083051643 (773) 768-4437

Northwestern Medical Faculty Foundation

33 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

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

Areas of Expertise CMS Part B claims 2

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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services25 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

38 services19 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers22 claims41 services$5.44 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims11 services$0.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN ALEXANDRA RIVERA LCPC

Counselor (Professional)

1713 S ASHLAND AVE
CHICAGO, IL 60608

Cook County (312) 742-1955

SONRISA DENTAL ON ASHLAND

Clinic/Center (Dental)

1713 S ASHLAND AVE
CHICAGO, IL 60608

Cook County (630) 730-3233

MARCO RIVAS

Family Medicine

1713 S ASHLAND AVE
CHICAGO, IL 60608

Cook County (312) 996-2901

HEALTHCARE ALTERNATIVE SYSTEMS, INC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

1713 S ASHLAND AVE, ROOM NO. 702-805
CHICAGO, IL 60608

Cook County (773) 505-3173

CITY OF CHICAGO

Clinic/Center (Community Health)

1713 S ASHLAND AVE
CHICAGO, IL 60608

Cook County (312) 746-5157

HEALTHCARE ALTERNATIVE SYSTEMS, INC.

Clinic/Center (Rehabilitation, Substance Use Disorder)

1713 S ASHLAND AVE, ROOM NO. 702-805
CHICAGO, IL 60608

Cook County (773) 505-3173

CHICAGO DEPARTMENT OF PUBLIC HEALTH

Clinic/Center (Community Health)

1713 S ASHLAND AVE
CHICAGO, IL 60608

Cook County (312) 746-5157

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 Luis Rivera's NPI number?

The NPI number for Luis Rivera is 1619396371. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Luis Rivera located?

Luis Rivera practices at 1713 S Ashland Ave, Chicago, IL 60608. The listed phone number is (312) 413-4179.

What is Luis Rivera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luis Rivera enrolled in Medicare?

Yes. Luis Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Luis Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Rivera reassigns Medicare benefits to 4 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL), Infant Welfare Society Of Chicago (Chicago, IL), Oak Street Health Physicians Group, PC (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Luis Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Luis Rivera affiliated with any hospitals?

According to CMS data, Luis Rivera is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Luis Rivera was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.