DR. SAMANTHA LAUREN RYVA RODRIGUEZ MD
NPI 1760237432
Pediatrics in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since April 17, 2024PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2024, May 7, 2024, Apr 17, 2024 (3 updates tracked since 2024).

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About Dr. Samantha Lauren Ryva Rodriguez Md NPPES

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

DR. SAMANTHA LAUREN RYVA RODRIGUEZ MD (NPI 1760237432) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (125.083477) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760237432

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SAMANTHA LAUREN RYVA RODRIGUEZCredential: MD

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-1000

Sole ProprietorYes

Enumeration DateApril 17, 2024

Last NPPES UpdateMay 13, 20243 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1760237432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 125.083477

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5841 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Lauren Ryva Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.