ARISTEIDIE DIVERIS – Anesthesiology Physician, NPI 1013926112

ARISTEIDIE DIVERIS is a healthcare provider. based in Lake bluff, Illinois. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT. The NPI Number for ARISTEIDIE DIVERIS is 1013926112

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ARISTEIDIE DIVERIS
NPI
1013926112
Phone
Not provided
Address
925 SHERWOOD DR
Enumeration Date
7 August 2006
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805123684
Graduation Year
1985 (41 years ago)
PAC ID
7810885076
Group Practice PAC ID
4284130345
Professional Enrollment ID
I20100721000946
Address ID
IL606570084CH331XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for ARISTEIDIE DIVERIS

  • Sherwood Drive, Lake Bluff, Lake, Illinois, 60044, United States

    LAKE BLUFF, IL 600442203

    Phone:

    Type: Mailing

  • 660, North Westmoreland Road, Deerpath, Lake Forest, Lake County, Illinois, 60045, United States

    LAKE FOREST, IL 600451659

    Phone: (847) 535-6100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100721000946IAnesthesiologyILTBD
I20171016000379IAnesthesiologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284130345View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IA
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What NPI should I save for ARISTEIDIE DIVERIS?
Save NPI 1013926112 if you need a stable reference for ARISTEIDIE DIVERIS.
Is ARISTEIDIE DIVERIS currently active in the NPI registry?
CMS-published data lists ARISTEIDIE DIVERIS as an active registrant.
Can you summarize ARISTEIDIE DIVERIS's specialty in plain language?
Clinically, the directory lists ARISTEIDIE DIVERIS with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ARISTEIDIE DIVERIS?
The page summarizes Lake Bluff, Illinois for ARISTEIDIE DIVERIS; expand the address list for detail.
What if Lake Bluff, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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