Individual provider Active NPI

Alex J Leverentz, PA

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1467729897
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004211 Issued in IL
Practice address
880 W Central Rd
Ste 4500
Arlington Heights, IL 60005-2388
Phone
(217) 383-6792
NPI assigned
Nov 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004211 IL Primary

Addresses

Primary practice location

880 W Central Rd
Ste 4500
Arlington Heights, IL 60005-2388

Mailing address

880 W Central Rd
Ste 4500
Arlington Heights, IL 60005-2388
Phone (217) 383-6792

Other identifiers 1

IdentifierTypeStateIssuer
085004211OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aleverentz6415@direct.nch.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000338 IL Practitioner - Physician Assistant 0143489906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085004211ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Physician Assistant CurrentSince May 6, 2014 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 13, 2023 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

880 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-3553

880 W Central Rd
Ste 4500
Arlington Hts, IL 60005
Phone (847) 398-2777

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1467729897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "STE 4500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052388",
            "telephone_number": "217-383-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "STE 4500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052388",
            "telephone_number": "217-383-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERENTZ",
        "first_name": "ALEX",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "085004211",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aleverentz6415@direct.nch.org",
            "affiliation": "N",
            "address_1": "880 W CENTRAL RD",
            "address_2": "STE 4500",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600052388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.