EMILIA B DAVID-RESTIVO MD
NPI 1902909492
Pediatrics in Alton, IL

Q: What is Emilia David-restivo's NPI number?

The NPI number for Emilia David-restivo is 1902909492. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Emilia David-restivo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 07, 2006PECOS Enrolled

4 MEMORIAL DR STE 210, ALTON, IL 62002(618) 463-0649(618) 465-3390 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Emilia B David-restivo Md NPPES

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

EMILIA B DAVID-RESTIVO MD (NPI 1902909492) is an individual pediatrics provider in Alton, Illinois, licensed in Illinois (036-116491) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902909492

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameEMILIA B DAVID-RESTIVOCredential: MD

Location Address4 MEMORIAL DR STE 210Alton, IL 62002

Mailing Address4 Memorial Dr Ste 210Alton, IL 62002-6751 · (618) 463-0649 · Fax (618) 465-3390

Phone(618) 463-0649

Fax(618) 465-3390

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateApril 13, 2021

NPPES CertifiedApril 13, 2021

✔ NPI 1902909492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IL · 036-116491✔ Licensed in MO · 2006017929

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.

4 MEMORIAL DR STE 210, Alton, IL 62002

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Other Identifiers 3

Other036116491IL · License Number

Other2006017929MO · Mo License

OtherN6122TX · Tx License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emilia B David-restivo 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.

Medicare Billing Reassignment

Medicare enrollment records show Emilia David-restivo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Healthcare Foundation, Inc.

0.6 mi

Federally Qualified Health Center (FQHC)

815 E 5TH ST
Alton, IL 62002

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

NPI 1346402062 (618) 397-3303

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Other Providers at the Same Location NPPES 17

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

LEE A TARDINO MSN ANP

Nurse Practitioner (Adult Health)