Individual provider Active NPI

Hilel Swerdlin, MD

  • Otolaryngology Physician
  • Kenosha, WI
National Provider Identifier
1265529853
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
38645 Issued in WI
Practice address
6127 Green Bay Rd
Suite 100
Kenosha, WI 53142-2946
Phone
(262) 652-2887
Fax
(262) 652-0547
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 38645 WI Primary

Addresses

Primary practice location

6127 Green Bay Rd
Suite 100
Kenosha, WI 53142-2946

Mailing address

6127 Green Bay Rd
Suite 100
Kenosha, WI 53142-2946
Phone (262) 652-2887

Other practice location 1

8870 S Mayhew Dr Ste 300
Oak Creek, WI 53154-3255
Phone (262) 652-2887

Other practice location 2

250 W Kensington Rd Ste 3B
Mount Prospect, IL 60056-1292
Phone (262) 652-2887

Other identifiers 1

IdentifierTypeStateIssuer
32321800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120220000996 WI Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 3375534340 Reassigns benefits to 1 organization
I20210309001169 IL Practitioner - Otolaryngology 3375534340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
McGill University, Faculty of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Family Clinic of Wisconsin SCGroup PAC ID 7911997655, 12 clinicians

Practice addresses (Care Compare)

250 W Kensington Rd
Suite 3B
Mount Prospect, IL 60056-1292
Phone (262) 652-2887

6127 Green Bay Rd
Suite 100
Kenosha, WI 53142-2941
Phone (262) 652-2887

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Family Clinic of Wisconsin SC Otolaryngology CurrentSince Aug 1, 1997 Accepting new patients
Lifeline Medical Associates, LLC PastSince Aug 8, 2022 Accepting new patients

Locations

1140 N McLean Blvd
Ste C
Elgin, IL 60123
Phone (224) 558-5493

2340 S Highland Ave
Ste 120
Lombard, IL 60148
Phone (262) 652-2887

250 W Kensington Rd
Ste 3B
Mount Prospect, IL 60056
Phone (262) 652-2887

250 W Kensington Rd
Ste 1A
Mt Prospect, IL 60056
Phone (847) 305-8600

3535 30th Ave
Ste 204
Kenosha, WI 53144
Phone (262) 652-2887

6127 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-2887

8870 S Mayhew Dr
Ste 300
Oak Creek, WI 53154
Phone (262) 652-2887

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1265529853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 GREEN BAY RD",
            "address_2": "SUITE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422946",
            "telephone_number": "262-652-2887",
            "fax_number": "262-652-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 GREEN BAY RD",
            "address_2": "SUITE 100",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422946",
            "telephone_number": "262-652-2887",
            "fax_number": "262-652-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8870 S Mayhew Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531543255",
            "country_code": "US",
            "telephone_number": "262-652-2887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W Kensington Rd Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600561292",
            "country_code": "US",
            "telephone_number": "262-652-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWERDLIN",
        "first_name": "HILEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "38645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32321800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.