Individual provider Active NPI

Lev Elterman, M.D.

  • Urology Physician
  • Skokie, IL
National Provider Identifier
1851377113
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036096071 Issued in IL
Practice address
4959 Golf Rd
Skokie, IL 60077-1537
Phone
(847) 410-8416
Fax
(224) 496-2424
NPI assigned
Dec 19, 2005
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036096071 IL Primary

Addresses

Primary practice location

4959 Golf Rd
Skokie, IL 60077-1537

Mailing address

4959 Golf Rd
Suite 101
Skokie, IL 60077-1537
Phone (847) 410-8416

Other identifiers 1

IdentifierTypeStateIssuer
036096071MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lelterman291695@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
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000519 IL Practitioner - Urology 8123926086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rush Medical College of Rush University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology, LTD.Group PAC ID 0345148284, 6 clinicians

Practice addresses (Care Compare)

4959 Golf Rd
Skokie, IL 60077-1537
Phone (847) 410-8416

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036096071ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology LTD Urology CurrentSince Dec 1, 2003 Accepting new patients

Locations

4646 N Marine Dr
Ste 5000
Chicago, IL 60640

4646 N Marine Dr
Ste 50000
Chicago, IL 60640

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

4959 Golf Rd
Skokie, IL 60077
Phone (847) 410-8416

4959 Golf Rd
Ste 101
Skokie, IL 60077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1851377113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "address_2": "SUITE 101",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771537",
            "telephone_number": "847-410-8416",
            "fax_number": "224-496-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 GOLF RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771537",
            "telephone_number": "847-410-8416",
            "fax_number": "224-496-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTERMAN",
        "first_name": "LEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036096071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096071",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lelterman291695@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4959 Golf Rd",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600771537",
            "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": "4959 Golf Rd",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600771537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.