NPIMap

Individual provider Active NPI

Vanja Cuk, MD

  • Internal Medicine Physician
  • Bloomingdale, IL
National Provider Identifier
1215022074
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100024 Issued in IL
Practice address
303 E Army Trail Rd
Suite 100
Bloomingdale, IL 60108
Phone
(630) 980-8600
Fax
(630) 980-8650
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 036100024 IL Primary

Addresses

Primary practice location

303 E Army Trail Rd
Suite 100
Bloomingdale, IL 60108

Mailing address

303 E Army Trail Rd
Suite 100
Bloomingdale, IL 60108
Phone (630) 980-8600

Other identifiers 1

IdentifierTypeStateIssuer
036100024MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanja.cuk.1@380.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000763 IL Practitioner - Internal Medicine 0648432062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cary J Bortnick MD LTD Internal Medicine CurrentSince Mar 14, 2012 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Nov 1, 2018 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

303 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 893-3668

303 E Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 980-8600

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

Interoperability endpoints

  • Direct secure messaging: vanja.cuk.1@380.direct.athenahealth.com

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 8

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1215022074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-980-8600",
            "fax_number": "630-980-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "address_2": "SUITE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-980-8600",
            "fax_number": "630-980-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUK",
        "first_name": "VANJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100024",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanja.cuk.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "303 E Army Trail Rd",
            "address_2": "Suite 100",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.