Individual provider Active NPI

Irina Goldvekht, D.O.

  • Internal Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1154309755
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107264 Issued in IL
Practice address
15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone
(847) 618-0351
Fax
(847) 618-0766
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036107264 IL Primary

Addresses

Primary practice location

15 S McHenry Rd
Buffalo Grove, IL 60089-6705

Mailing address

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 618-0351

Other practice location 1

1051 W Rand Rd Ste 110
Arlington Heights, IL 60004-2315
Phone (847) 618-9292

Other identifiers 1

IdentifierTypeStateIssuer
036107264MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address igoldvekht13335@direct.nch.org

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
I20071109000570 IL Practitioner - Internal Medicine 5395833206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Arlington Heights, IL 60004-2315

1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535

1450 Busch Pkwy
Buffalo Grove, IL 60089-4541
Phone (847) 725-8640

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 520-9424

199 W Rand Rd
Mount Prospect, IL 60056-1151
Phone (847) 618-5400

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107264ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc CurrentSince Sep 1, 2010 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Rand Imaging Center Past Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

1051 W Rand Rd
Ste 110
Arlington Heights, IL 60004
Phone (847) 618-9292

1538 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 253-6464

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Ste 103
Buffalo Grove, IL 60089
Phone (847) 696-1100

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100

9532 Eagle Way
Chicago, IL 60678

25233 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

Interoperability endpoints

  • Direct secure messaging: igoldvekht13335@direct.nch.org
  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

Organizations & group practices 6

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 5

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1154309755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0351",
            "fax_number": "847-618-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MCHENRY RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896705",
            "telephone_number": "847-618-0351",
            "fax_number": "847-618-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 W Rand Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600042315",
            "country_code": "US",
            "telephone_number": "847-618-9292",
            "fax_number": "847-618-9294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDVEKHT",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107264",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "igoldvekht13335@direct.nch.org",
            "affiliation": "N",
            "address_1": "1450 Busch Pkwy Ste 103",
            "city": "Buffalo Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600894541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.