Individual provider Active NPI

Alex B Lipowich, M.D., S.C.

  • Obstetrics & Gynecology Physician
  • Arlington Heights, IL
National Provider Identifier
1083640734
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036086690 Issued in IL
Practice address
1630 W Central Rd
Arlington Heights, IL 60005-2407
Phone
(847) 394-3553
Fax
(847) 394-3574
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036086690 IL Primary

Addresses

Primary practice location

1630 W Central Rd
Arlington Heights, IL 60005-2407

Mailing address

1630 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 394-3553

Other identifiers 3

IdentifierTypeStateIssuer
36-4259441OtherILFEIN
036086690MedicaidIL
1622277OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Alex B Lipowich Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090110000201 IL Practitioner - Obstetrics/Gynecology 1850335571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Women's Consultants, S.C.Group PAC ID 8426957895, 5 clinicians

Practice addresses (Care Compare)

1630 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 394-3553

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alex B Lipowich MD SC Obstetrics & Gynecology CurrentSince Jan 1, 1999 Accepting new patients
Northwest Women's Consultants, S.C. Obstetrics & Gynecology CurrentSince Aug 12, 2024 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

1630 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-3553

1614 W Central Rd
Ste 211
Arlington Hts, IL 60005
Phone (847) 255-9606

800 Biesterfield Rd
Ste 2004
Elk Grove Vlg, IL 60007
Phone (847) 437-9505

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1083640734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-3553",
            "fax_number": "847-394-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPOWICH",
        "first_name": "ALEX",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., S.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036086690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "36-4259441",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086690",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1622277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "LIPOWICH",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.