Active NPI
Eugene G Lipov, M.D.
- Pain Medicine (Anesthesiology) Physician
- Hoffman Estates, IL
National Provider Identifier
1285631374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036071840
- Practice address
- 2260 W Higgins Rd
Suite 101
Hoffman Estates, IL 60169-2431 - Phone
- (847) 608-6620
- Fax
- (847) 742-5135
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036071840 | IL | Primary |
Addresses
Primary practice location
2260 W Higgins Rd
Suite 101
Hoffman Estates, IL 60169-2431
Mailing address
2260 W Higgins Rd
Suite 101
Hoffman Estates, IL 60169-2431
Phone (847) 608-6620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131846500 | Other | IL | DEPARTMENT OF LABOR |
| 363756275 | Other | IL | TAX ID |
| 1619628 | Other | IL | BCBS PROVIDER # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036071840 | IL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Anesthesiology Pain Specialists LLC | Pain Medicine | Current | Accepting new patients |
| Lipov Medical SC | Pain Medicine | Current | Accepting new patients |
| Elmhurst Orthopaedics, SC | Past | Accepting new patients | |
| Suburban Orthopaedics LTD | Past | Accepting new patients | |
| Illinois Bone and Joint Institute | Past | Accepting new patients |
Locations
3000 N Halsted St
Ste 601
Chicago, IL 60657
Phone (773) 296-7937
1 E Oakhill Dr
Ste 100
Westmont, IL 60559
Phone (630) 654-2515
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1104008218
-
- Orthopaedic Surgery Physician
- Elmhurst, IL
- NPI 1598716474
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
-
- Orthopaedic Surgery Physician
- Bartlett, IL
- NPI 1275749475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1285631374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 W HIGGINS RD",
"address_2": "SUITE 101",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692431",
"telephone_number": "847-608-6620",
"fax_number": "847-742-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 W HIGGINS RD",
"address_2": "SUITE 101",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601692431",
"telephone_number": "847-608-6620",
"fax_number": "847-742-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPOV",
"first_name": "EUGENE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036071840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "131846500",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "363756275",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1619628",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.