Active NPI
Sergey Neckrysh, MD
- Neurological Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036-113099
- Practice address
- 912 S. Wood STR
Department of Neurosurgery MC 799
Chicago, IL 60612 - Phone
- (312) 996-4842
- Fax
- (312) 996-9018
- NPI assigned
- Sep 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036-113099 | IL | Primary |
| Neurological Surgery Physician | 207T00000X | 036113099 | IL |
Addresses
Primary practice location
912 S. Wood STR
Department of Neurosurgery MC 799
Chicago, IL 60612
Mailing address
912 S. Wood STR
Department of Neurosurgery MC 799
Chicago, IL 60612
Phone (312) 996-4842
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 W Taylor St
Chicago, IL 60612-7232
1801 W Taylor St
Chicago, IL 60612-4795
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 45 |
| Laminectomy or laminotomy (partial removal of spine bones) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-113099 | IL | MD | Neurological Surgery Physician |
| 036113099 | IL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| University Spine Surgeons, LLC | Neurological Surgery | Current | Accepting new patients |
| Academic Spine Consultants, LLC | Neurological Surgery | Current | Accepting new patients |
| Neurosurgical Associates of Central New York, LLP | Past | Accepting new patients | |
| Upstate Neurosurgery LLP | Neurological Surgery | Past | Accepting new patients |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
1740 W Taylor St
Ste 1400
Chicago, IL 60612
Phone (312) 996-3900
912 S Wood St
#799
Chicago, IL 60612
Phone (312) 413-0684
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
Organizations & group practices 8
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Neurological Surgery Physician
- Boca Raton, FL
- NPI 1669340840
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Durable Medical Equipment & Medical Supplies
- Syracuse, NY
- NPI 1346384435
-
- Neurological Surgery Physician
- Syracuse, NY
- NPI 1497788574
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1285736637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 S. WOOD STR",
"address_2": "DEPARTMENT OF NEUROSURGERY MC 799",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-4842",
"fax_number": "312-996-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S. WOOD STR",
"address_2": "DEPARTMENT OF NEUROSURGERY MC 799",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-4842",
"fax_number": "312-996-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECKRYSH",
"first_name": "SERGEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036-113099",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036113099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.