NPIMap

Individual provider Active NPI

Vadim Edelstein, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1760431076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088622 Issued in IL
Practice address
4555 Oakton St
Skokie, IL 60076-3178
Phone
(847) 982-9988
Fax
(847) 982-9789
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 036088622 IL Primary

Addresses

Primary practice location

4555 Oakton St
Skokie, IL 60076-3178

Mailing address

4555 Oakton St
Skokie, IL 60076-3178
Phone (847) 982-9988

Other identifiers 1

IdentifierTypeStateIssuer
036088622MedicaidIL

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
I20040120000551 IL Practitioner - Internal Medicine 2961302088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vadim Edelstein MD LTDGroup PAC ID 5092615278, 4 clinicians

Practice addresses (Care Compare)

4555 Oakton St
Suite 1
Skokie, IL 60076-3178
Phone 8479829988802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.75 of 100Reported as individual
Quality
91.24
Improvement activities
40
Cost
79.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vadim Edelstein MD LTD Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

4555 Oakton St
Skokie, IL 60076
Phone (847) 982-9481

4555 Oakton St
Ste A
Skokie, IL 60076

4555 Oakton St
#1
Skokie, IL 60076
Phone (847) 982-9988

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

Interoperability endpoints

  • Direct secure messaging: vadim.edelstein@mhgm.eclinicaldirectplus.com

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760431076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763178",
            "telephone_number": "847-982-9988",
            "fax_number": "847-982-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763178",
            "telephone_number": "847-982-9988",
            "fax_number": "847-982-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.