Leonid Ayzenberg, M.D

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036095153 Issued in IL

Practice address

303 E. Rand Rd
Mount Prospect, IL 60056-1508

Phone

(847) 537-6800

Fax

(847) 556-8847

NPI assigned

Oct 6, 2006

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Ophthalmology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

93.47

Promoting interoperability

88

Improvement activities

40

Cost

95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leo.ayzenberg@direct-address.net

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

• Leonid Ayzenberg, M.D. Inc

  • Ophthalmology Physician
  • Mount Prospect, IL
  • NPI 1235294398

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1164519526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E. RAND RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561508",
            "telephone_number": "847-537-6800",
            "fax_number": "847-556-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E. RAND RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561508",
            "telephone_number": "847-537-6800",
            "fax_number": "847-556-8847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2922 W Devon Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606591508",
            "country_code": "US",
            "telephone_number": "773-283-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYZENBERG",
        "first_name": "LEONID",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036095153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364232115",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095153",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS PROVIDER NUMBER",
            "identifier": "1622332",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Y Avny, DDS
• Ninos K Awraham, D.D.S.
• Ana Ayala
• Parviz Ayrempour
• Shankar Ayyaswamy
• Azk Transportation Inc
• Divya Babbar, D.O.
• John Yong Bae
• Daniela Valeria Baez, AGPCNP-BC
• Diana Balbarin, APRN

• Ophthalmology Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.