Serik Tursunaliev, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

74903 Issued in WI

Practice address

1500 S Fairfield Ave
Chicago, IL 60608-1782

Phone

(773) 257-5077

Fax

(773) 257-6027

NPI assigned

May 18, 2018

Last updated

May 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, IL2 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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Uvc Medical PLLCGroup PAC ID 4486986122, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: serik.tursunaliev@uvvc.eclinicaldirectplus.com

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.

• Illinois Uvc Medical PLLC

  dba United Vein & Vascular Centers

  • Vascular Surgery Physician
  • Oak Lawn, IL
  • NPI 1689224719
  Medicare reassignment Care Compare group NPD
• Congress Vascular Center LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1396267324
  Medicare reassignment NPD
• Congress Vein Clinic LLC

  • Trauma Surgery Physician
  • Chicago, IL
  • NPI 1467986901
  Medicare reassignment NPD
• North Shore Vein Clinics LLC

  • Vascular Surgery Physician
  • Northbrook, IL
  • NPI 1841547098
  Medicare reassignment NPD
• Vein Clinics of Chicago LLC

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1386904621
  Medicare reassignment NPD
• Wisconsin Phlebology Medical Group SC

  • Surgery Physician
  • Mequon, WI
  • NPI 1295780492
  Medicare reassignment NPD
• USA Vein Clinics of Wisconsin LLC

  • Vascular Surgery Physician
  • Brookfield, WI
  • NPI 1033806534
  Medicare reassignment
• Lakeshore Womens Health Specialists SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1528094869
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1780175349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-257-5077",
            "fax_number": "773-257-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081782",
            "telephone_number": "773-257-5077",
            "fax_number": "773-257-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURSUNALIEV",
        "first_name": "SERIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.072186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "74903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genevieve Tusa, DO, MPH
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• Tusla Medical Lab

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.

Verify at the official NPI Registry.