Individual provider Active NPI

Aleksandr Galperin, MD

  • Family Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1902810823
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036107660 Issued in IL
Practice address
200 N Milwaukee Ave
Suite 100
Buffalo Grove, IL 60089
Phone
(847) 850-5377
NPI assigned
Jul 28, 2006
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036107660 IL Primary

Addresses

Primary practice location

200 N Milwaukee Ave
Suite 100
Buffalo Grove, IL 60089

Mailing address

200 Milwaukee Ave Ste 100
Buffalo Grove, IL 60089-2813
Phone (847) 850-5377

Other identifiers 1

IdentifierTypeStateIssuer
036107660MedicaidIL

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
I20041018000205 IL Practitioner - Family Practice 1254391139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107660ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Il Foot & Ankle Clinic Medical Corp Past Accepting new patients
Jewish Family & Community Service Past Accepting new patients
Metro Physicians & Specialists PastSince Dec 1, 2004 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1902810823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILWAUKEE AVE STE 100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892813",
            "telephone_number": "847-850-5377",
            "fax_number": "847-850-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MILWAUKEE AVE",
            "address_2": "SUITE 100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-850-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALPERIN",
        "first_name": "ALEKSANDR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107660",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.