DR. AMANDO A RENIVA (M.D.) – Family Medicine Physician, NPI 1932109352

DR. AMANDO A RENIVA (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 036105799 (IL). The NPI Number for DR. AMANDO A RENIVA (M.D.) is 1932109352

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDO A RENIVA (M.D.)
NPI
1932109352
Phone
(847) 698-0661
Address
1125 S WASHINGTON AVE
Enumeration Date
28 July 2005
Last Update Date
4 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083836200
Graduation Year
1991 (35 years ago)
PAC ID
1355247792
Group Practice PAC ID
1557270139
Professional Enrollment ID
I20031215000052
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. AMANDO A RENIVA (M.D.)

  • 1125, South Washington Avenue, Park Ridge, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600684814

    Phone: (847) 698-0661

    Type: Mailing

  • North Branch of the Chicago River, Lincoln Park, Chicago, Cook County, Illinois, 60642, United States

    CHICAGO, IL 606463760

    Phone: (847) 679-1668

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 60068)

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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: 1557270139View full group profile
NameSpecialtyState
Family PracticeIL
-IL
Clinical Social WorkerIL
Family PracticeIL
-IL
Hospitalist, Family PracticeIL
-IL
Family PracticeIL
Nurse PractitionerIL
Family PracticeMI

Reviews

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Frequently asked questions

Can I cross-check DR. AMANDO A RENIVA (M.D.) using NPI 1932109352?
NPI 1932109352 belongs to DR. AMANDO A RENIVA (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. AMANDO A RENIVA (M.D.)?
You should see DR. AMANDO A RENIVA (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. AMANDO A RENIVA (M.D.)?
At a glance, DR. AMANDO A RENIVA (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. AMANDO A RENIVA (M.D.) located near Park Ridge?
DR. AMANDO A RENIVA (M.D.) currently maps to Park Ridge, Illinois in this extract.
Does DR. AMANDO A RENIVA (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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