NPIMap

Individual provider Active NPI

Michael J Magidow, MD, PHD

  • Family Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1649479296
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036124533 Issued in IL
Practice address
355 W Dundee Rd
Suite 219
Buffalo Grove, IL 60089-3500
Phone
(847) 947-2377
Fax
(847) 947-8554
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036124533 IL Primary

Addresses

Primary practice location

355 W Dundee Rd
Suite 219
Buffalo Grove, IL 60089-3500

Mailing address

PO Box 5262
Buffalo Grove, IL 60089-5262
Phone (847) 947-2377

Other names 1

  • Mikhail Maguidov Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091210000285 IL Practitioner - Family PracticePractitioner - Emergency Medicine 8921148628 Reassigns benefits to 1 organization
I20180820000237 MN Practitioner - Family Practice 8921148628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

355 W Dundee Rd
Suite 219
Buffalo Grove, IL 60089-3500
Phone (847) 947-2377

Hospital & facility affiliations

  • Elite Home Health Care, Inc Home health agency, Northbrook, IL, CCN 147756
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Merit-based Incentive Payment System (MIPS)

Final score
75.91 of 100Reported as individual
Quality
38.23
Improvement activities
40
Cost
79.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Medical LLC CurrentSince Mar 12, 2011 Accepting new patients
Sanford Health Network Current Accepting new patients
Aurora Urgent Care LLC PastSince Oct 1, 2006 Accepting new patients
Rockford Medical Rehabilitation SC PastSince Nov 20, 2004 Accepting new patients
A-1 Medical Imaging Past Accepting new patients
Gizunt SC Past Accepting new patients

Locations

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

355 W Dundee Rd
Ste 219
Buffalo Grove, IL 60089
Phone (847) 808-9292

1600 N Kniss Ave
Luverne, MN 56156
Phone (507) 283-2321

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

1680 Diagonal Rd
Worthington, MN 56187
Phone (507) 372-3800

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Organizations & group practices 6

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 7

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1649479296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5262",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600895262",
            "telephone_number": "847-947-2377",
            "fax_number": "847-947-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD",
            "address_2": "SUITE 219",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "847-947-2377",
            "fax_number": "847-947-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDOW",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKHAIL",
            "last_name": "MAGUIDOV",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.