Active NPI
Eguert Nagaj, MD
- Family Medicine Physician
- Buffalo Grove, IL
National Provider Identifier
1376550442
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jan 18, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-106724
- Practice address
- 333 W Dundee Rd
Suite 102
Buffalo Grove, IL 60089-3545 - Phone
- (847) 243-0355
- Fax
- (847) 243-0356
- NPI assigned
- Aug 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-106724 | IL | Primary |
Addresses
Primary practice location
333 W Dundee Rd
Suite 102
Buffalo Grove, IL 60089-3545
Mailing address
333 W Dundee Rd
Suite 102
Buffalo Grove, IL 60089-3545
Phone (847) 243-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106724 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106724 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Grove Chiropractic and Wellness LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Buffalo Grove, IL
- NPI 1528504446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1376550442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W DUNDEE RD",
"address_2": "SUITE 102",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893545",
"telephone_number": "847-243-0355",
"fax_number": "847-243-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W DUNDEE RD",
"address_2": "SUITE 102",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600893545",
"telephone_number": "847-243-0355",
"fax_number": "847-243-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGAJ",
"first_name": "EGUERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-106724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106724",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.