Individual provider Active NPI

Plamen Nedev Dotchev, M.D.

  • Obstetrics & Gynecology Physician
  • Mount Prospect, IL
National Provider Identifier
1891756995
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036114004 Issued in IL
Practice address
1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone
(847) 593-6600
Fax
(847) 593-3544
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036114004 IL Primary

Addresses

Primary practice location

1754 W Golf Rd
Mount Prospect, IL 60056-4071

Mailing address

29373 Network PL
Chicago, IL 60673-7884
Phone (847) 390-5900

Other identifiers 2

IdentifierTypeStateIssuer
036114004MedicaidIL
01633659OtherILBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pdotchev251970@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
I20051115001056 IL Practitioner - Obstetrics/Gynecology 8224057674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

1875 Dempster St
Park Ridge, IL 60068-1186
Phone (847) 723-8640

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2022 Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients

Locations

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

29373 Network Pl
Chicago, IL 60673

1754 W Golf Rd
Mt Prospect, IL 60056
Phone (224) 265-9010

1875 Dempster St
Ste 330
Park Ridge, IL 60068
Phone (847) 655-8500

1875 W Dempster St
Ste 506
Park Ridge, IL 60068
Phone (847) 593-6600

1875 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-8640

Interoperability endpoints

  • Direct secure messaging: pdotchev251970@direct.myadvocateaurora.org

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1891756995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606737884",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 W GOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564071",
            "telephone_number": "847-593-6600",
            "fax_number": "847-593-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTCHEV",
        "first_name": "PLAMEN",
        "middle_name": "NEDEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036114004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633659",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdotchev251970@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1754 W Golf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600564071",
            "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": "1754 W Golf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600564071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.