Individual provider Active NPI

Marin Nikolov Marinov, M.D.

  • Surgery Physician
  • Park Ridge, IL
National Provider Identifier
1245486877
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036117042 Issued in IL
Practice address
1875 Dempster St Ste 465
Park Ridge, IL 60068-1129
Phone
(847) 318-9071
Fax
(847) 318-2535
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036117042 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 465
Park Ridge, IL 60068-1129

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

2615 Central St
Evanston, IL 60201-6413
Phone (847) 962-3453

Other practice location 2

1875 Dempster St Ste 280
Park Ridge, IL 60068-1157
Phone (847) 723-5990

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mmarinov205106@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20100629000684 IL Practitioner - General Surgery 0547391955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143

1875 Dempster St
Suite 280
Park Ridge, IL 60068-1157
Phone (847) 318-9071

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)40
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue14
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117042ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2010 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 1, 2010 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2801 Finley Rd
Ste 220
Downers Grove, IL 60515
Phone (630) 261-9393

1875 W Dempster St
Ste 465
Park Ridge, IL 60068
Phone (847) 318-9071

1875 Dempster St
Ste 280
Park Ridge, IL 60068
Phone (847) 318-9071

1875 W Dempster St
Ste 265
Park Ridge, IL 60068
Phone (847) 685-5000

Interoperability endpoints

  • Direct secure messaging: mmarinov205106@direct.myadvocateaurora.org

Organizations & group practices 2

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 6

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1245486877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 465",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681129",
            "telephone_number": "847-318-9071",
            "fax_number": "847-318-2535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Central St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602016413",
            "country_code": "US",
            "telephone_number": "847-962-3453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 Dempster St Ste 280",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681157",
            "country_code": "US",
            "telephone_number": "847-723-5990",
            "fax_number": "847-318-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINOV",
        "first_name": "MARIN",
        "middle_name": "NIKOLOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036117042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmarinov205106@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1875 Dempster St Ste 280",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1875 Dempster St Ste 280",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.