Individual provider Active NPI

Eugene A Muzykansky, MD

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1457328874
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098613 Issued in IL
Practice address
5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415
Phone
(708) 636-1601
Fax
(708) 636-1825
NPI assigned
Mar 3, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036098613 IL Primary

Addresses

Primary practice location

5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415

Mailing address

5851 W 95TH St Ste 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000081 IL Practitioner - Internal Medicine 2062517790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult Primary Care Center LTDGroup PAC ID 4284781956, 5 clinicians

Practice addresses (Care Compare)

215 Remington Blvd
Suite I
Bolingbrook, IL 60440-3665
Phone (630) 378-9191

5851 W 95TH St
Suite 100
Oak Lawn, IL 60453-2415
Phone (708) 636-1601

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dale S Raines & Associates LTD Current Accepting new patients
Adult Primary Care Center, LTD. Internal Medicine CurrentSince Jan 1, 2009 Accepting new patients
Suburban Pulmonary & Sleep Associates LTD PastSince Feb 1, 2007 Accepting new patients

Locations

10837 S Cicero Ave
Ste 320
Oak Lawn, IL 60453
Phone (708) 636-1601

4340 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-1601

5851 W 95th St
Ste 100
Oak Lawn, IL 60453
Phone (708) 636-1601

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1457328874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-636-1601",
            "fax_number": "708-636-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 W 95TH ST STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532415",
            "telephone_number": "708-636-1601",
            "fax_number": "708-636-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZYKANSKY",
        "first_name": "EUGENE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.