Renato Bacol Rivera, M.D.
Surgery Physician · Breese, IL
Renato Bacol Rivera, M.D. is a surgery physician with a practice address in Breese, Illinois, and NPI 1083612790, issued on Jul 7, 2005. Check the license (Illinois 036045712, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Renato Bacol Rivera
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036045712 IL
Self-reported in NPPES; status is on the state search - Practice location
- 9515 Holy Cross LN Ste 175, Breese, IL 62230
- Phone
- (618) 526-8430
- Enumerated
- Jul 7, 2005
- Record last updated
- Dec 30, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (618) 526-7275
- Medicaid ID
- 036045712 IL
- Entity
- Type 1 · individual
Also registered at 9515 Holy Cross LN Ste 175
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ulunna Macbean, M.DSurgery Physician1962660753
- Osman Mahdi Babikir, M.D.Surgery Physician1104143510
- Jacob Wengert, DC, FNPNurse Practitioner1689097768
Verify Renato Bacol Rivera in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036045712Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3 surgery physician records list a practice address in Breese
They are 3 of the 122 NPPES records with a practice address in Breese, and 1,520 surgery physician records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3 in Breese → All 1,520 in Illinois → Every provider in Breese →
Other surgery physician records in Illinois
- Douglas Aach, MDShiloh, IL1508817040
- Andrew Abadier, DOChicago, IL1124657473
- Shabirhusain Abadin, M.D.Chicago, IL1467712596
- Iftikharul Abbasy, MDOak Brook, IL1104814755
- Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
- Samir Abdo, M.D.Eldorado, IL1578612982
- Chandrakumaran Abivarma, M.D.Park Ridge, IL1467135137
- Gerard Abood, M.DMaywood, IL1629237227
- Mohammad Abou El-Ezz, MDChicago, IL1790536746
- Gifty Abraham, M.D.Maywood, IL1881039279
Common questions
What is Renato Bacol Rivera, M.D.'s NPI number?
Renato Bacol Rivera, M.D.'s National Provider Identifier (NPI) is 1083612790, issued on Jul 7, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Renato Bacol Rivera, M.D. located?
The NPPES record lists a practice address at 9515 Holy Cross LN Ste 175, Breese, IL, 62230. Phone: (618) 526-8430. Providers update this record themselves, so call before visiting.
How can I verify Renato Bacol Rivera, M.D.'s license?
NPPES lists Illinois license number 036045712, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.