Individual provider Active NPI

Natalya Vernovsky, M.D.

  • Pediatrics Physician
  • Morton Grove, IL
National Provider Identifier
1730194192
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-096748 Issued in IL
Practice address
9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128
Phone
(847) 296-1177
Fax
(847) 296-1177
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-096748 IL Primary

Addresses

Primary practice location

9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128

Mailing address

9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128
Phone (847) 296-1177

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nvernovsky252173@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170811002020 IL Practitioner - Pediatric Medicine 7012288830 Reassigns benefits to 2 organizations
I20220224000183 FL Practitioner - Pediatric Medicine 7012288830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-096748ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Jun 15, 2020 Accepting new patients
Healing Hands Physicians, Inc. CurrentSince Jun 24, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2020 Accepting new patients
Suburban Pediatrics, LTD. Pediatrics PastSince Dec 12, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1305 Remington Rd
Ste M
Schaumburg, IL 60173
Phone (224) 938-9264

3232 Lake Ave
Fl 2
Wilmette, IL 60091
Phone (847) 318-9300

Interoperability endpoints

  • Direct secure messaging: nvernovsky252173@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1730194192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD STE 240",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532128",
            "telephone_number": "847-296-1177",
            "fax_number": "847-296-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD STE 240",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532128",
            "telephone_number": "847-296-1177",
            "fax_number": "847-296-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOVSKY",
        "first_name": "NATALYA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-096748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvernovsky252173@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9000 Waukegan Rd Ste 240",
            "city": "Morton Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600532128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9000 Waukegan Rd Ste 240",
            "city": "Morton Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600532128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.