GADI ASHER REVIVO (D.O.) – Pediatric Rehabilitation Medicine Physician, NPI 1922179787

GADI ASHER REVIVO (D.O.) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials D.O.. They hold a License No. 036-104471 (IL). The NPI Number for GADI ASHER REVIVO (D.O.) is 1922179787

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
GADI ASHER REVIVO (D.O.)
NPI
1922179787
Phone
(312) 238-1000
Address
355 E ERIE ST
Enumeration Date
13 November 2006
Last Update Date
23 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3122381000
Graduation Year
1997 (29 years ago)
PAC ID
0345315461
Group Practice PAC ID
4880598978
Professional Enrollment ID
I20080823000052
Address ID
IL606113167CH355XXSTXX400

Contacts

Secure Messaging
grevivo@direct.ric.og
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

596 PHYSICAL MEDICINE AND REHABILITATION in IL

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Provider Addresses for GADI ASHER REVIVO (D.O.)

  • Shirley Ryan AbilityLab, 355, East Erie Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    CHICAGO, IL 606113167

    Phone: (312) 238-1000

    Mailing address matches the actual address.

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Amneal Pharmaceuticals LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080823000052IPhysical Medicine And RehabilitationILTBD

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 60611)

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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: 4880598978View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
-IL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
-IL
Physical Medicine And RehabilitationIL
-IL
Physical Medicine And Rehabilitation, Pain ManagementIL
Physical Medicine And RehabilitationIL

Reviews

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Frequently asked questions

Does GADI ASHER REVIVO (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GADI ASHER REVIVO (D.O.) uses 1922179787.
Is GADI ASHER REVIVO (D.O.) still practicing?
GADI ASHER REVIVO (D.O.) is currently listed as active in the public NPI registry.
What is GADI ASHER REVIVO (D.O.)'s primary classification?
Pediatric Rehabilitation Medicine Physician is the headline specialty for GADI ASHER REVIVO (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does GADI ASHER REVIVO (D.O.) serve?
GADI ASHER REVIVO (D.O.)'s listing highlights Chicago, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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