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SIMONE CRIVELLARO MD
NPI 1730382201
Urology in Chicago, IL

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
820 S WOOD ST, CHICAGO, IL 60612(312) 996-9331 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Nov 14, 2018 (2 updates tracked since 2018).

About Simone Crivellaro Md NPPES

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

SIMONE CRIVELLARO MD (NPI 1730382201) is an individual urology provider in Chicago, Illinois, licensed in Illinois (036174667) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1730382201
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSIMONE CRIVELLAROCredential: MD
Location Address820 S WOOD STChicago, IL 60612-4325
Mailing Address820 S Wood StChicago, IL 60612-4325 · (312) 996-9331
Phone(312) 996-9331
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 11, 2007
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1730382201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in IL · 036174667✔ Licensed in NC · 2007-00873
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
820 S WOOD ST, Chicago, IL 60612
Open in Google Maps ↗

Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (312) 996-7416

Other Identifiers 8

MedicaidQ73007SC
Medicaid5907682NC
OtherAETNANC · 9286104
Medicaid1730382201VA
Other202774NC · Medcost
Other147F0NC · Bcbs
Medicaid3810009657WV
Other812200NC · Partners

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

Simone Crivellaro Md 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 ID7719070374
PECOS Enrollment IDI20140617000527
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 5

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 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.
67 services47 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.
57 services48 patients
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.
19 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

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 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Referred Medical Equipment & Supplies CMS DME claims 3

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$9.22 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.24 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.23 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 20

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

ADAM KOSLOFF
Student in an Organized Health Care Education/Training Program
820 S WOOD ST, MC 675
CHICAGO, IL 60612
Cook County (312) 996-7000
DR. JOSEPH FRANK MICHALSKI MD, MPH, MS
Orthopaedic Surgery
820 S WOOD ST
CHICAGO, IL 60612
Cook County (516) 497-1888
VICTOR R GORDEUK MD
Internal Medicine (Hematology & Oncology)
820 S WOOD ST, SICKLE CELL CTR. SUITE 172, CLINICAL SCIENCES BUILDING
CHICAGO, IL 60612
Cook County (312) 996-5680
DR. MARIO SPAGGIARI M.D.
Transplant Surgery
820 S WOOD ST, STE 619 CSB - MC 957
CHICAGO, IL 60612
Cook County (312) 355-1885
MATTHEW JARED RANZER MD
Surgery (Plastic and Reconstructive Surgery)
820 S WOOD ST, SUITE 515 CSN
CHICAGO, IL 60612
Cook County (312) 996-9313
SOFIA SAMI MD
Psychiatry & Neurology (Psychiatry)
820 S WOOD ST
CHICAGO, IL 60612
Cook County (312) 413-1718
BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Health Maintenance Organization
820 S WOOD ST, SUITE W310 - M/C 974
CHICAGO, IL 60612
Cook County (844) 810-2273
FRANK GONZALEZ M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
820 S WOOD ST, M/C 808
CHICAGO, IL 60612
Cook County (312) 996-7006

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 Simone Crivellaro's NPI number?

The NPI number for Simone Crivellaro is 1730382201. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Simone Crivellaro located?

Simone Crivellaro practices at 820 S Wood St, Chicago, IL 60612. The listed phone number is (312) 996-9331.

What is Simone Crivellaro's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Simone Crivellaro enrolled in Medicare?

Yes. Simone Crivellaro 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.

Is Simone Crivellaro affiliated with any hospitals?

According to CMS data, Simone Crivellaro is affiliated with Mt Sinai Hospital Medical Center, Osf Saint Elizabeth Mdl Ctr and University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Simone Crivellaro was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.