Individual provider Active NPI

Todd M Leverentz, MD

  • Internal Medicine Physician
  • Palatine, IL
National Provider Identifier
1699708149
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036064732 Issued in IL
Practice address
1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373
Phone
(847) 618-0121
Fax
(847) 618-0134
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036064732 IL Primary

Addresses

Primary practice location

1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373

Mailing address

1200 W Algonquin Rd BLDG M
Palatine, IL 60067-7373
Phone (847) 618-0121

Other identifiers 1

IdentifierTypeStateIssuer
036064732OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tleverentz24722@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000719 IL Practitioner - Internal Medicine 2668524042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
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)

1051 W Rand Rd
Arlington Heights, IL 60004-2315

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

2650 Ridge Ave
Evanston, IL 60201-1700

455 S Roselle Rd
Schaumburg, IL 60193-2971
Phone (847) 985-0600

Hospital & facility affiliations

  • Residential Home Health Home health agency, Schaumburg, IL, CCN 147094
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036064732ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Internal Medicine CurrentSince Jul 22, 2020 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 20, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Jul 22, 2020 Accepting new patients

Locations

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

25233 Network Pl
Chicago, IL 60673

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

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

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

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

1200 W Algonquin Rd
Bldg M
Palatine, IL 60067
Phone (847) 618-0102

519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535

455 S Roselle Rd
Ste 226
Schaumburg, IL 60193
Phone (312) 351-4646

Organizations & group practices 4

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 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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1699708149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W ALGONQUIN RD BLDG M",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677373",
            "telephone_number": "847-618-0121",
            "fax_number": "847-618-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W ALGONQUIN RD BLDG M",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677373",
            "telephone_number": "847-618-0121",
            "fax_number": "847-618-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVERENTZ",
        "first_name": "TODD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036064732",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tleverentz24722@direct.nch.org",
            "affiliation": "N",
            "address_1": "455 S Roselle Rd",
            "address_2": "#226",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601932971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.