Igor Dukarevich, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005409 Issued in IL

Practice address

1835 N 19TH Ave
Suite 102
Melrose Park, IL 60160-2040

Phone

(708) 450-0705

Fax

(708) 345-0423

NPI assigned

May 19, 2008

Last updated

Jun 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2008

Medicare assignment

May accept Medicare assignment

Group practices

Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, shared by 58 NPIs, 603 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
• West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11733/brand/1/csg/1/fhir/r4
• Direct secure messaging: igor.dukarevich.1@11733.direct.athenahealth.com

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.

• Specialized Podiatry, L.L.C.

  • Podiatrist
  • Buffalo Grove, IL
  • NPI 1952798548
  Medicare reassignment NPD Authorized official
• Advanced Podiatry Clinics LTD

  • Podiatrist
  • Melrose Park, IL
  • NPI 1619255452
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869
  Care Compare affiliation
• Northwest Community Hospital

  dba Endeavor Health Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600
  Care Compare affiliation
• Resilience Healthcare-West Suburban Medical Center, LLC

  dba West Suburban Medical Center

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1619442266
  Care Compare affiliation

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1538326426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891513",
            "telephone_number": "224-381-9438",
            "fax_number": "224-639-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 102",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-450-0705",
            "fax_number": "708-345-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKAREVICH",
        "first_name": "IGOR",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Kijowski & Assoc. Optometrists, P.C.
• Dragan Ivkovic MD SC
• Steven Bennett Dritz, M.D.
• DRS Pildes & Pierce SC
• Leonard Dubin, M.D.
• Jude Dumfeh, MD
• Dupage Medical Group, LTD. (DuPage Medical Group)
• Jessica Lynn Dye, PA-C
• Anne Dykstra, OD
• Matthew Earle, B.S.

• Foot & Ankle Surgery Podiatrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.

Verify at the official NPI Registry.