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Dr. Mitchell S Blivaiss , MD

Pediatrics • Evanston, IL

Active NPI 1730254434 Individual Practitioner Male Practitioner
Practice location in NPPES

909 Davis St, Suite 200
Evanston, IL 602013645

Call 8478663700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

909 Davis St
Suite 200

Evanston, IL 602013645

Telephone 8478663700
Fax 8478663731
Organization at the Same NPPES Address or Phone
Sherman Dental Associates Of Evanston, Ltd Facility NPI 1942326350

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Evanston and Illinois

52 active clinicians are listed under Pediatrics with a practice address in Evanston, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

0% of these 52 clinicians have the CMS telehealth indicator.

1.9% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Nadia Ali , DO

Family Medicine

NPI 1366063760

Doctor of Osteopathic Medicine (D.O.)

NPI 1992744023

Doctor of Osteopathic Medicine (D.O.)

Dr. Arun Bhojwani , MD

Internal Medicine

NPI 1447336136

Doctor of Medicine (M.D.)

Dr. Edward Blumen , MD

Family Medicine - Adult Medicine

NPI 1659310894

Doctor of Medicine (M.D.)

NPI 1336131184

Doctor of Medicine (M.D.)

Dr. Jacqueline David , MD

Internal Medicine

NPI 1417016205

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated November 21, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1730254434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Pediatrics Specialists in Evanston

All Pediatrics Specialists in Evanston

Mailing Address

2650 Ridge Ave, Evanston Hospital

Evanston, IL 602011718

Phone: 8475701206

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.