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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
Get Directions

Simone Crivellaro, MD is an urology in Chicago, IL with 23 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 6/11/2007 and was last updated on 11/14/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology2007-00873NORTH CAROLINANo
2208800000XUrology113000068ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1147F0OTHERNORTH CAROLINABCBS
21730382201MEDICAIDVIRGINIA
3812200OTHERNORTH CAROLINAPARTNERS
45907682MEDICAIDNORTH CAROLINA
5202774OTHERNORTH CAROLINAMEDCOST
6Q73007MEDICAIDSOUTH CAROLINA
7AETNAOTHERNORTH CAROLINA9286104
83810009657MEDICAIDWEST VIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.