NPIMap

Individual provider Active NPI

Yuriy Bukhalo, MD

  • Pain Medicine (Anesthesiology) Physician
  • Arlington Heights, IL
National Provider Identifier
1598719213
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036105460 Issued in IL
Practice address
880 W Central Ave
Arlington Heights, IL 60025
Phone
(847) 255-0900
Fax
(847) 255-4344
NPI assigned
May 19, 2006
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036105460 IL Primary

Addresses

Primary practice location

880 W Central Ave
Arlington Heights, IL 60025

Mailing address

1140 Pfingsten Rd
Glenview, IL 60025-2521
Phone (847) 962-4187

Other identifiers 1

IdentifierTypeStateIssuer
036105460MedicaidIL

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
I20031120000068 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4385548643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Rush Medical College of Rush University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Suburban Pain Associates LLCGroup PAC ID 3779670476, 5 clinicians

Practice addresses (Care Compare)

1675 S Arlington Heights Rd
Arlington Heights, IL 60005-3769
Phone (847) 255-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.83 of 100Reported as group
Quality
66.56
Improvement activities
40
Cost
76.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Suburban Pain Associates LLC Pain Medicine CurrentSince Nov 1, 2007 Accepting new patients
Northwest Suburban Pain Center SC Pain Medicine Past Accepting new patients

Locations

1675 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 255-0900

1675 S Arlington Heights Rd
#R
Arlington Heights, IL 60005
Phone (847) 255-0900

880 W Central Rd
Ste 3600
Arlington Heights, IL 60005
Phone (847) 255-0900

880 W Central Rd
Ste 3800
Arlington Hts, IL 60005
Phone (847) 255-0900

1 Executive Ct
Ste 2
South Barrington, IL 60010
Phone (847) 255-0900

Organizations & group practices 3

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 9

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1598719213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252521",
            "telephone_number": "847-962-4187",
            "fax_number": "847-255-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-255-0900",
            "fax_number": "847-255-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHALO",
        "first_name": "YURIY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036105460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.