Individual provider Active NPI

Aleksandr Goldvekht, MD

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
National Provider Identifier
1700807807
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P6398 Issued in TX
Practice address
7235 W Appleton Ave
Milwaukee, WI 53216-1932
Phone
(414) 815-6700
Fax
(414) 755-1434
NPI assigned
Jul 22, 2006
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P6398 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 36110569 IL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 01064540A IN
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X P6398 TX
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 8211 TX

Addresses

Primary practice location

7235 W Appleton Ave
Milwaukee, WI 53216-1932

Mailing address

711 Dunhill Dr
Buffalo Grove, IL 60089-1514
Phone (847) 530-9317

Other identifiers 6

IdentifierTypeStateIssuer
57560OtherWIWISCONSIN LICENSE
36110569OtherILSTATE LICENSE
000000557721OtherINBLUE CROSS / BLUE SHIELD
000000564577OtherINBLUE CROSS / BLUE SHIELD
01064540AOtherINSTATE LICENSE
K400108110OtherWIMC FOR MRT

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
I20061113000388 IL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 8426056144 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Center for Physical Therapy Inc.Group PAC ID 7911219431, 4 clinicians
North Suburban Medical SCGroup PAC ID 5890754311, 3 clinicians

Practice addresses (Care Compare)

1546 Barclay Blvd
Buffalo Grove, IL 60089-4530
Phone (847) 465-8415

1800 Dewes St
Suite B
Glenview, IL 60025-4377
Phone (847) 920-7887

1800 Nations Dr
Suite 101
Gurnee, IL 60031-9169
Phone (847) 263-0480

3330 Dundee Rd
Suite C1
Northbrook, IL 60062-2328
Phone (224) 355-1501

4513 Lincoln Ave
Suite 212
Lisle, IL 60532-1291
Phone (630) 795-1889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36110569ILMDPain Medicine (Physical Medicine & Rehabilitation) Physician
01064540AINMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Healthcare Center Inc Physical Medicine & Rehabilitation CurrentSince Jan 25, 2021 Accepting new patients
Center for Physical Therapy Inc CurrentSince Jul 9, 2015 Accepting new patients
Northstar Integrated Health & Physical Medicine Center, S.C. Pain Medicine CurrentSince Dec 31, 2013 Accepting new patients
Alpha Rehab Center, SC CurrentSince Jan 8, 2020 Accepting new patients
Anchor Health Inc CurrentSince Jan 11, 2018 Accepting new patients
Pri Chicago PLLC Pain Medicine CurrentSince Jan 13, 2022 Accepting new patients
Premiere Anesthesia Group LLC CurrentSince Jan 13, 2022 Accepting new patients
Morsay Physical Medicine Center LTD. CurrentSince Oct 31, 2009 Accepting new patients
North Suburban Medical S.C. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2010 Accepting new patients
Neurologic Wellness Institute PLLC Past Accepting new patients
Lake Zurich Physical Medicine, SC PastSince Jan 1, 2010 Accepting new patients
Addison Physical Medicine and Rehabilitation Center LTD. Past Accepting new patients
Kedzie Medical Clinic Inc Past Accepting new patients
Illinois Back and Joint PLLC PastSince Jan 19, 2023 Accepting new patients
Noel Castelino SC Past Accepting new patients
Physicians Health Services, Inc. Physical Medicine & Rehabilitation Past Accepting new patients
Bright Light Medical Imaging, SC Past Accepting new patients
Total Athleticare SC Past Accepting new patients

Locations

3253 S Harlem Ave
Ste 3
Berwyn, IL 60402
Phone (708) 317-5553

1546 Barclay Blvd
Buffalo Grove, IL 60089
Phone (847) 465-8415

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

1800 Dewes St
Ste B
Glenview, IL 60025
Phone (847) 920-7887

1800 Nations Dr
Ste 101
Gurnee, IL 60031
Phone (847) 263-0480

3926 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 675-7170

4513 Lincoln Ave
Ste 212
Lisle, IL 60532
Phone (224) 616-4613

155 Revere Dr
Ste 5
Northbrook, IL 60062
Phone (224) 458-1224

4340 Morsay Dr
Rockford, IL 61107
Phone (815) 397-8132

3545 Lake Ave
Ste 100
Wilmette, IL 60091
Phone (847) 251-1800

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1700807807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891514",
            "telephone_number": "847-530-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 W APPLETON AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161932",
            "telephone_number": "414-815-6700",
            "fax_number": "414-755-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDVEKHT",
        "first_name": "ALEKSANDR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P6398",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "36110569",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IN",
            "license": "01064540A",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "P6398",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "TX",
            "license": "8211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE",
            "identifier": "57560",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "36110569",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "000000557721",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "000000564577",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01064540A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC FOR MRT",
            "identifier": "K400108110",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.