Individual provider Active NPI

Zbigniew Adam Perkowski, M.D.

  • Interventional Cardiology Physician
  • Elk Grove Village, IL
National Provider Identifier
1417900366
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-069463 Issued in IL
Practice address
800 Biesterfield Rd Ste G01
Wimmer Building
Elk Grove Village, IL 60007-3372
Phone
(847) 981-3680
Fax
(847) 956-5122
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036069463 IL
Interventional Cardiology Physician 207RI0011X 036-069463 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste G01
Wimmer Building
Elk Grove Village, IL 60007-3372

Mailing address

900 S Frontage Rd
Suite 325
Woodridge, IL 60517-4903
Phone (847) 981-3680

Other identifiers 4

IdentifierTypeStateIssuer
IL6304009OtherILMEDICARE PTAN LOC 16
IL6305009OtherILMEDICARE PTAN LOC 15
1720371669OtherILNPI GROUP PRACTICE
P01013370OtherILRRMC PTAN

Other names 1

  • Adam Perkowski Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036069463ILMDCardiovascular Disease Physician
036-069463ILMDInterventional Cardiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1417900366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S FRONTAGE RD",
            "address_2": "SUITE 325",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174903",
            "telephone_number": "847-981-3680",
            "fax_number": "847-956-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE G01",
            "address_2": "WIMMER BUILDING",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073372",
            "telephone_number": "847-981-3680",
            "fax_number": "847-956-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOWSKI",
        "first_name": "ZBIGNIEW",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036069463",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-069463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOC 16",
            "identifier": "IL6304009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN LOC 15",
            "identifier": "IL6305009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP PRACTICE",
            "identifier": "1720371669",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P01013370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "PERKOWSKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.