Active NPI
Bohdan Charkewycz, M.D.
- Anesthesiology Physician
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036083122
- Practice address
- 1225 West Lake Street
Melrose Park, IL 60160 - Phone
- (708) 681-3000
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036083122 | IL | Primary |
Addresses
Primary practice location
1225 West Lake Street
Melrose Park, IL 60160
Mailing address
3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083122 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036083122 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| Associated Healthcare Group | Anesthesiology | Current | Accepting new patients |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Gottlieb Midwest Anesthesiologists, LLC | Anesthesiology | Past | Accepting new patients |
Locations
129 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 215-0530
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
2551 Compass Rd
Ste 115
Glenview, IL 60026
Phone (847) 656-2400
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
387 Shuman Blvd
Ste 240W
Naperville, IL 60563
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Anesthesiology Physician
- Arlington Heights, IL
- NPI 1972373405
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
- Anesthesiology Physician
- Melrose Park, IL
- NPI 1003832767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1700822376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DRIVE",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WEST LAKE STREET",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "60160",
"telephone_number": "708-681-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARKEWYCZ",
"first_name": "BOHDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036083122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036083122",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.