Individual provider Active NPI

Zinoviy Rabinovich, DPM

  • Podiatrist
  • Northbrook, IL
National Provider Identifier
1356561534
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005115 Issued in IL
Practice address
3546 N Milwaukee Ave
Northbrook, IL 60062-7130
Phone
(847) 297-9660
Fax
(847) 297-9665
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005115 IL Primary

Addresses

Primary practice location

3546 N Milwaukee Ave
Northbrook, IL 60062-7130

Mailing address

3546 N Milwaukee Ave
Northbrook, IL 60062-7130
Phone (847) 297-9660

Other identifiers 1

IdentifierTypeStateIssuer
016005115MedicaidIL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000217 IL Practitioner - Podiatry 5799759502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20637 W Renwick Rd
Crest Hill, IL 60403-9200
Phone (815) 838-9505

3546 Milwaukee Ave
Northbrook, IL 60062-7130
Phone (847) 297-9660

Hospital & facility affiliations

  • Providence Home Health Care, I Home health agency, Northbrook, IL, CCN 147710
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Merit-based Incentive Payment System (MIPS)

Final score
98.33 of 100Reported as group
Quality
76.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue431
Removal of skin lesions623
Removal of nail tissue1082
Removal or shaving of skin growth833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005115ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Foot and Ankle Clinic LTD Podiatrist CurrentSince Jul 15, 2003 Accepting new patients
Absolute Medical Care LTD CurrentSince Jan 1, 2009 Accepting new patients
Absolute Foot and Ankle Clinic, LTD Past Accepting new patients
Hias Diagnostics Inc Past Accepting new patients

Locations

1546 Barclay Blvd
Buffalo Grove, IL 60089
Phone (847) 465-8415

20637 W Renwick Rd
Crest Hill, IL 60403
Phone (630) 656-3171

3546 Milwaukee Ave
Northbrook, IL 60062
Phone (773) 332-7692

Organizations & group practices 4

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 2

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1356561534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 N MILWAUKEE AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627130",
            "telephone_number": "847-297-9660",
            "fax_number": "847-297-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 N MILWAUKEE AVE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627130",
            "telephone_number": "847-297-9660",
            "fax_number": "847-297-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOVICH",
        "first_name": "ZINOVIY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005115",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.