SIMONE CRIVELLARO MD NPI 1730382201

NPI Information

  • NPI: 1730382201
  • Provider Name: SIMONE CRIVELLARO, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 S WOOD ST
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 996-9331

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NPI Details

Simone Crivellaro, MD is an urology in Chicago, IL with 25 years of experience. The provider is 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. Simone Crivellaro, MD NPI is 1730382201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 S WOOD ST
CHICAGO, IL
ZIP 60612-325
Phone: (312) 996-9331

The NPI 1730382201 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 6/11/2007 and was last updated on 5/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology2007-00873NORTH CAROLINANo
2208800000XUrology036174667ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q73007MEDICAIDSOUTH CAROLINA
25907682MEDICAIDNORTH CAROLINA
3AETNAOTHERNORTH CAROLINA9286104
41730382201MEDICAIDVIRGINIA
5202774OTHERNORTH CAROLINAMEDCOST
6147F0OTHERNORTH CAROLINABCBS
73810009657MEDICAIDWEST VIRGINIA
8812200OTHERNORTH CAROLINAPARTNERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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