Internamed, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036065857 Issued in IL

Legal business name

INTERNAMED, P.C.

Practice address

1975 Lin Lor LN
Suite 285
Elgin, IL 60123-4902

Phone

(847) 608-7542

Fax

(847) 608-9812

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sergei G Lipov, M.D.NPI 1982634127

Title

President

Phone

(847) 608-7542

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergei G Lipov, M.D.

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1982634127
  Medicare reassignment NPD Authorized official
• Marie E Schlentz, D.O.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1710947601
  NPD (past)
• Than Win, M.D.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1427098581
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1376573527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5478",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601215478",
            "telephone_number": "847-608-7542",
            "fax_number": "847-608-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN",
            "address_2": "SUITE 285",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-608-7542",
            "fax_number": "847-608-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAMED, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "LIPOV",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-608-7542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036065857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065857",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0004527746",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Pain Management SC
• Integrative Med LLC
• Integrity Physical Therapy, Inc.
• Integrity Physical Therapy, Inc.
• Intent Counseling, PLLC
• Asima Iqbal, M.D
• Syed Saad Iqbal
• Hiram E Isaac, M.D.
• It'S About Change Sober Living, Inc.
• Katy Iturio, R.N.

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.