NPIMap

Individual provider Active NPI

Oleg Minkevitch, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1700816477
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114918 Issued in IL
Practice address
2643 W Rice St
Chicago, IL 60622-4541
Phone
(773) 865-3567
Fax
(773) 865-3567
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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 036114918 IL Primary

Addresses

Primary practice location

2643 W Rice St
Chicago, IL 60622-4541

Mailing address

2643 W Rice St
Chicago, IL 60622-4541
Phone (773) 865-3567

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
I20070711000830 IL Practitioner - Internal MedicinePractitioner - General Practice 2264455955 Practice locations: Deerfield, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 N Milwaukee Ave
Unit 113
Deerfield, IL 60015-3615
Phone (224) 676-0462

Hospital & facility affiliations

  • Americhoice Health Care, Inc Home health agency, Northbrook, IL, CCN 148214
  • Senior Home Health Agency Home health agency, Park Ridge, IL, CCN 148059
  • Progressive Home Health Care Home health agency, Northbrook, IL, CCN 147697
  • Advanta Home Health Care, Inc Home health agency, Northfield, IL, CCN 147887
  • Advanced Home Health Services, Inc Home health agency, Northbrook, IL, CCN 147815
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

Merit-based Incentive Payment System (MIPS)

Final score
10.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
36.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Services Stoney Island, S.C. Family Medicine Past Accepting new patients
Gurnee Physical Medicine LTD Past Accepting new patients
Robert S Glick DPM PC Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1700816477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 W RICE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224541",
            "telephone_number": "773-865-3567",
            "fax_number": "773-435-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 W RICE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224541",
            "telephone_number": "773-865-3567",
            "fax_number": "773-865-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEVITCH",
        "first_name": "OLEG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.