Individual provider Active NPI

Larry Alan Auerbach, M.D.

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1255441291
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036059351 Issued in IL
Practice address
1211 S Arlington Heights Rd
Arlington Heights, IL 60005-3142
Phone
(847) 264-2222
Fax
(847) 437-6841
NPI assigned
Aug 30, 2006
Last updated
Jun 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036059351 IL Primary

Addresses

Primary practice location

1211 S Arlington Heights Rd
Arlington Heights, IL 60005-3142

Mailing address

2574 Portage Ave
Wauconda, IL 60084-5031
Phone (847) 436-8300

Other practice location 1

125 E Lake Cook Rd
Ste. 110
Buffalo Grove, IL 60089-4356
Phone (847) 459-8575

Other practice location 2

125 E Lake Cook Rd
Ste. 110
Buffalo Grove, IL 60089-4356
Phone (847) 459-8575

Other identifiers 1

IdentifierTypeStateIssuer
036059351MedicaidIL

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
I20071116000651 IL Practitioner - Ophthalmology 2668560186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koziol-Thoms Eye Associates SCGroup PAC ID 4385539758, 5 clinicians

Practice addresses (Care Compare)

1211 S Arlington Heights Rd
Arlington Heights, IL 60005-3142
Phone (847) 264-2222

Merit-based Incentive Payment System (MIPS)

Final score
89.12 of 100Reported as group
Quality
94.87
Improvement activities
40
Cost
70.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059351ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koziol-Thoms Eye Associates S.C. Ophthalmology CurrentSince Mar 15, 2018 Accepting new patients
Koziol-Thoms Eye Associates S.C. Ophthalmology CurrentSince Mar 15, 2018 Accepting new patients

Locations

1211 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 259-2777

1211 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 264-2222

Interoperability endpoints

  • Direct secure messaging: lauerbach@ktbea.intellechartdirect.net
  • Direct secure messaging: lauerbach281440@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1255441291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 PORTAGE AVE",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845031",
            "telephone_number": "847-436-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-264-2222",
            "fax_number": "847-437-6841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Lake Cook Rd",
            "address_2": "Ste. 110",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894356",
            "country_code": "US",
            "telephone_number": "847-459-8575",
            "fax_number": "847-459-8648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E Lake Cook Rd",
            "address_2": "Ste. 110",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894356",
            "country_code": "US",
            "telephone_number": "847-459-8575",
            "fax_number": "847-459-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUERBACH",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036059351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.