Serik Tursunaliev, MD

Key facts

NPI

1780175349

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

74903 (WI)

Practice address

1500 S Fairfield Ave
Chicago, IL 60608-1782

Phone

(773) 257-5077

Fax

(773) 257-6027

NPI assigned

May 18, 2018

Sex

Male

Sole proprietor

Yes

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.

• Illinois Uvc Medical PLLC Vascular Surgery Physician · Oak Lawn, IL · NPI 1689224719
  Medicare reassignment Care Compare group NPD IL
• Congress Vascular Center LLC Vascular Surgery Physician · Chicago, IL · NPI 1396267324
  Medicare reassignment NPD IL
• Congress Vein Clinic LLC Trauma Surgery Physician · Chicago, IL · NPI 1467986901
  Medicare reassignment NPD IL
• North Shore Vein Clinics LLC Vascular Surgery Physician · Northbrook, IL · NPI 1841547098
  Medicare reassignment NPD IL
• Vein Clinics of Chicago LLC Vascular Surgery Physician · Chicago, IL · NPI 1386904621
  Medicare reassignment NPD IL
• Wisconsin Phlebology Medical Group SC Surgery Physician · Mequon, WI · NPI 1295780492
  Medicare reassignment NPD WI
• USA Vein Clinics of Wisconsin LLC Vascular Surgery Physician · Brookfield, WI · NPI 1033806534
  Medicare reassignment WI
• Lakeshore Womens Health Specialists SC Obstetrics & Gynecology Physician · Chicago, IL · NPI 1528094869
  NPD (past)

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Uvc Medical PLLC (13 clinicians)

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in WI, IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2021.

{
    "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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All providers in Chicago, IL · Internal Medicine Physician in Illinois