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GADI ASHER REVIVO D.O.
NPI 1922179787
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Chicago, IL

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
80.51/100
CMS Quality Rating
355 E ERIE ST, CHICAGO, IL 60611(312) 238-1000(312) 238-1208 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2017, Jun 5, 2017 (2 updates tracked since 2017).

About Gadi Asher Revivo D.o. NPPES

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

GADI ASHER REVIVO D.O. (NPI 1922179787) is an individual pediatric rehabilitation medicine provider in Chicago, Illinois, licensed in Illinois (036-104471) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922179787
Entity TypeIndividualMale
Primary Taxonomy2081P0010X
Provider Legal NameGADI ASHER REVIVOCredential: D.O.
Location Address355 E ERIE STChicago, IL 60611-3167
Mailing Address355 E Erie StChicago, IL 60611-3167 · (312) 238-1000
Phone(312) 238-1000
Fax(312) 238-1208
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 13, 2006
Last NPPES UpdateJune 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1922179787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in IL · 036-104471
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036-104471 (IL)
355 E ERIE ST, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 1

Medicaid036104471-1IL

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

Gadi Asher Revivo D.o. 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 ID345315461
PECOS Enrollment IDI20080823000052
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 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.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.47
Promoting Interoperability100
Improvement Activities40
Cost26.22

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.

STEPHEN LEB
Physical Medicine & Rehabilitation
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-2870
LAUREN E PIPER PHD
Psychologist (Clinical)
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000
ELLORY GRAFF
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000
DR. MONICA E RHO MD
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000
DR. LLASHE-KAYE EVERETT PSY.D.
Clinical Neuropsychologist
355 E ERIE ST
CHICAGO, IL 60611
Cook County (872) 252-8477
DIANE M ROWLES CNP, APN
Nurse Practitioner
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000
DR. MEEGAN D LAMBERT OTD, OTR/L
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000
LAUREN E SPLITTGERBER MD
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611
Cook County (312) 238-1000

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 Gadi Revivo's NPI number?

The NPI number for Gadi Revivo is 1922179787. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Gadi Revivo located?

Gadi Revivo practices at 355 E Erie St, Chicago, IL 60611. The listed phone number is (312) 238-1000.

What is Gadi Revivo's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Gadi Revivo enrolled in Medicare?

Yes. Gadi Revivo 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.

When was this NPI record last updated?

The NPPES record for Gadi Revivo was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.