Individual provider Active NPI

Arkady B. Rapoport, MD

  • Cardiovascular Disease Physician
  • Skokie, IL
National Provider Identifier
1457468761
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036063872 Issued in IL
Practice address
9650 Gross Point Rd Ste 4900
Skokie, IL 60076
Phone
(847) 864-3278
Fax
(847) 676-1727
NPI assigned
Aug 23, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036062872 IL
Cardiovascular Disease Physician 207RC0000X 036063872 IL Primary
Interventional Cardiology Physician 207RI0011X 036062872 IL

Addresses

Primary practice location

9650 Gross Point Rd Ste 4900
Skokie, IL 60076

Mailing address

9650 Gross Point Rd Ste 4900
Skokie, IL 60076-1214
Phone (847) 864-3278

Other practice location 1

9669 Kenton Ave
Suite 206
Skokie, IL 60076-1266
Phone (847) 676-1333

Other identifiers 1

IdentifierTypeStateIssuer
36063872MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arapoport15677@direct.northshore.org

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
036062872ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical and Interventional Cardiology PastSince Apr 25, 1995 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arapoport15677@direct.northshore.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1457468761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-864-3278",
            "fax_number": "847-676-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 GROSS POINT RD STE 4900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "60076",
            "telephone_number": "847-864-3278",
            "fax_number": "847-676-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9669 Kenton Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761266",
            "country_code": "US",
            "telephone_number": "847-676-1333",
            "fax_number": "847-676-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPOPORT",
        "first_name": "ARKADY",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036062872",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036063872",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036062872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36063872",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arapoport15677@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9650 Gross Point Rd Ste 4900",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.