DIEGO RIVERA PA-C
NPI 1710534755
Physician Assistant in Chicago, IL

Q: What is Diego Rivera's NPI number?

The NPI number for Diego Rivera is 1710534755. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Q: What is Diego Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Diego Rivera was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 23, 2019PECOS EnrolledAccepts Medicare Assignment

81.12/100

CMS Quality Rating

251 E HURON ST STE 16-738, CHICAGO, IL 60611(312) 926-5924(312) 926-6134 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2021, Jun 1, 2020, Aug 23, 2019 (3 updates tracked since 2019).

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About Diego Rivera Pa-c NPPES

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

DIEGO RIVERA PA-C (NPI 1710534755) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085007712) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Northwestern University Feinberg Medical School (2020).

NPPES Registry Identity

NPI1710534755

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameDIEGO RIVERACredential: PA-C

Location Address251 E HURON ST STE 16-738Chicago, IL 60611-2908

Mailing Address251 E Huron St Ste 16-738Chicago, IL 60611-2908 · (312) 926-5924 · Fax (312) 926-6134

Phone(312) 926-5924

Fax(312) 926-6134

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2020

Enumeration DateAugust 23, 2019

Last NPPES UpdateJanuary 6, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2021

✔ NPI 1710534755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085007712

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

251 E HURON ST STE 16-738, Chicago, IL 60611

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Accepted Insurance

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

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

Diego Rivera Pa-c 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 ID8921419003

PECOS Enrollment IDI20201120001176

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 4

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.

36 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services32 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services15 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140124

Location1901 W Harrison StChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL

OwnershipGovernment - Local

CMS Certification Number140300

Location500 E 51st StChicago, IL 60615 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.83

Improvement Activities

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.

AISHA T AMUDA

Hospitalist