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EDGAR RIOS M.D., S.C
NPI 1699981886
Clinic/Center - Medical Specialty in Chicago, IL

Active since May 15, 2007CLIA 14D0873226 · Waiver
4152 W 26TH ST, CHICAGO, IL 60623(773) 521-1100(773) 521-9032 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edgar Rios M.d., S.c NPPES

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

EDGAR RIOS M.D., S.C (NPI 1699981886) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Ricardo R Rios, Urology, as its authorized official.

NPPES Registry Identity

NPI1699981886
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameEDGAR RIOS M.D., S.C
Location Address4152 W 26TH STChicago, IL 60623-4312
Mailing Address203 Midwest Club PkwyOak Brook, IL 60523-2508 · (773) 521-1100 · Fax (773) 521-9032
Phone(773) 521-1100
Fax(773) 521-9032
Organization SubpartNo
Authorized OfficialRicardo R RiosUrology · (773) 521-1100
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1699981886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in IL · 036048072
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4152 W 26TH ST, Chicago, IL 60623
Open in Google Maps ↗

Other Identifiers 3

Medicaid036048072IL
Other0021608512IL · Blue Cross Number
Other1881957405IL · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Rios M.d., S.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edgar Rios M.D., S.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ricardo Rios, M.D.
Urology
NPI 1881957405
5600 W ADDISON ST STE 305
Chicago, IL 60634
(773) 725-0760
✔ PECOS✔ Accepts Medicare7.3 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 14D0873226

Edgar Rios M D S C · Chicago, IL
Active · expires Dec 10, 2027
CLIA Number14D0873226
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorEdgar Rios MD
Laboratory Phone(773) 521-1100
Laboratory LocationEdgar Rios M D S C4152 W 26th Street, Chicago, IL 60623
CLIA data matches this NPI record on: Address Name 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 Edgar Rios M.D., S.C's NPI number?

The NPI number for Edgar Rios M.D., S.C is 1699981886. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Edgar Rios M.D., S.C located?

Edgar Rios M.D., S.C is located at 4152 W 26th St, Chicago, IL 60623. The listed phone number is (773) 521-1100.

What is Edgar Rios M.D., S.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Edgar Rios M.D., S.C enrolled in Medicare?

Yes. Edgar Rios M.D., S.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edgar Rios M.D., S.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Edgar Rios M.D., S.C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Edgar Rios M.D., S.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0873226) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Edgar Rios M.D., S.C was last updated on August 9, 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.