Active NPI
Olga Goodman, M.D.
- Rheumatology Physician
- Des Plaines, IL
National Provider Identifier
1407081698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 036-138100
- Practice address
- 150 N River Rd Ste 270
Des Plaines, IL 60016-1241 - Phone
- (847) 298-8470
- Fax
- (847) 298-6819
- NPI assigned
- May 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P7638 | TX | |
| Pediatrics Physician | 208000000X | P7638 | TX | |
| Rheumatology Physician | 207RR0500X | 036-138100 | IL | Primary |
Addresses
Primary practice location
150 N River Rd Ste 270
Des Plaines, IL 60016-1241
Mailing address
150 N River Rd Ste 270
Des Plaines, IL 60016-1241
Phone (847) 298-8470
Other practice location 1
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036138100 | Medicaid | IL |
Other names 1
- Dr. Olga Fitasova
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
- Rheumatology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 N River Rd
Suite 270
Des Plaines, IL 60016-1272
Phone (847) 800-0998
Hospital & facility affiliations
- Northwest Community Hospital 1
- Advocate Lutheran General Hospital
- Northwestern Medicine Central Dupage Hospital
- Amita Health Resurrection Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.94 of 100
- Quality
- 84.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7638 | TX | MD | Internal Medicine Physician |
| 036-138100 | IL | MD | Rheumatology Physician |
Interoperability endpoints
- ogoodman252470@direct.myadvocateaurora.org
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.
-
- Rheumatology Physician
- Des Plaines, IL
- NPI 1942332895
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1407081698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N RIVER RD STE 270",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161241",
"telephone_number": "847-298-8470",
"fax_number": "847-298-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N RIVER RD STE 270",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161241",
"telephone_number": "847-298-8470",
"fax_number": "847-298-6819"
}
],
"practiceLocations": [
{
"address_1": "5875 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611144937",
"country_code": "US",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-18",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P7638",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P7638",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IL",
"license": "036-138100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036138100",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLGA",
"last_name": "FITASOVA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.