NPIMap

Individual provider Active NPI

Sinisa Boskovic, M.D.

  • Internal Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1467462796
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-097078 Issued in IL
Practice address
943 N Plum Grove Rd Ste B
Schaumburg, IL 60173-4779
Phone
(847) 892-5001
Fax
(847) 952-9451
NPI assigned
Aug 9, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 036-097078 IL Primary

Addresses

Primary practice location

943 N Plum Grove Rd Ste B
Schaumburg, IL 60173-4779

Mailing address

PO Box 68979
Schaumburg, IL 60168-0979
Phone (847) 892-5001

Other identifiers 1

IdentifierTypeStateIssuer
036097078MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119001010 IL Practitioner - Internal Medicine 9436114386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

802 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4713
Phone (847) 892-5001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097078ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Me and My Doctor, LTD Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Concentra Primary Care of Illinois PC Past Accepting new patients

Locations

800 Biesterfield Rd
Ste 2009
Elk Grove Vlg, IL 60007
Phone (847) 952-9140

802 E Woodfield Rd
Ste 300
Schaumburg, IL 60173
Phone (847) 240-9300

943 N Plum Grove Rd
Ste B
Schaumburg, IL 60173
Phone (847) 892-5001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFJCA/Endpoint/ACFJCA

Organizations & group practices 2

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 8

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1467462796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68979",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601680979",
            "telephone_number": "847-892-5001",
            "fax_number": "847-952-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 N PLUM GROVE RD STE B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734779",
            "telephone_number": "847-892-5001",
            "fax_number": "847-952-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSKOVIC",
        "first_name": "SINISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-097078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097078",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.