Active NPI
Alex J Leverentz, PA
- Physician Assistant
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085004211 | Other | IL | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Morris Hospital & Healthcare Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 085004211 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Services Inc | Physician Assistant | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | 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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1134433154
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Obstetrics Physician
- Arlington Heights, IL
- NPI 1467057513
Physician Assistant
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.