Individual provider Active NPI

Katarzyna Bochenska, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Park Ridge, IL
National Provider Identifier
1164711537
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
036138038 Issued in IL
Practice address
1875 Dempster St Ste 665
Park Ridge, IL 60068
Phone
(847) 825-1590
Fax
(847) 825-1604
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036138038 IL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 036138038 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 665
Park Ridge, IL 60068

Mailing address

1875 Dempster St Ste 665
Park Ridge, IL 60068-1168
Phone (847) 825-1590

Other identifiers 1

IdentifierTypeStateIssuer
036138038MedicaidIL

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
I20180721000096 IL Practitioner - Obstetrics/Gynecology 9638476476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Urogynecology LTDGroup PAC ID 0840180303, 6 clinicians

Practice addresses (Care Compare)

1875 Dempster St
Suite 665
Park Ridge, IL 60068-1168
Phone (847) 825-1590

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Merit-based Incentive Payment System (MIPS)

Final score
84.44 of 100Reported as group
Quality
88.33
Improvement activities
40
Cost
63.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138038ILMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Urogynecology, LTD. Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jul 1, 2018 Accepting new patients

Locations

2020 Ogden Ave
Ste 260
Aurora, IL 60504
Phone (630) 499-4774

1200 S York St
Ste 4250
Elmhurst, IL 60126
Phone (630) 317-7682

1875 W Dempster St
Ste 665
Park Ridge, IL 60068

Organizations & group practices 1

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 2

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1164711537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 665",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681168",
            "telephone_number": "847-825-1590",
            "fax_number": "847-825-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 665",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-825-1590",
            "fax_number": "847-825-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHENSKA",
        "first_name": "KATARZYNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036138038",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036138038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138038",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.