Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Simone Crivellaro, MD

Individual provider Urology Physician · NPI 1730382201

Simone Crivellaro, MD is an Urology in Chicago, Illinois. Qualified in 2001, 25 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and North Carolina.

Years since qualifying
25
Licensed in
IL, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 S Wood St
Chicago, IL 60612-4325
Phone: (312) 996-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (312) 996-7416

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 036174667 (IL)
Urology Physician Taxonomy 208800000X · Licence 2007-00873 (NC)

Record details

NPI number1730382201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address820 S Wood St, Chicago, IL 60612-4325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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