Individual provider Active NPI

Vadim Lyuksemburg, M.D.

  • Surgery Physician
  • Park Ridge, IL
National Provider Identifier
1912431735
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.160436 Issued in IL
Practice address
1875 Dempster St Ste 280
Park Ridge, IL 60068-1157
Phone
(847) 390-5900
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.160436 IL Primary

Addresses

Primary practice location

1875 Dempster St Ste 280
Park Ridge, IL 60068-1157

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vlyuksemburg343167@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
I20220818000646 IL Practitioner - General Surgery 6002180734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143

1875 Dempster St
Suite 280
Park Ridge, IL 60068-1157
Phone (847) 318-9071

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

2801 Finley Rd
Suite 220
Downers Grove, IL 60515-1039
Phone (630) 261-9393

3815 Highland Ave
Downers Grove, IL 60515-1500

650 W Lake Cook Rd
Buffalo Grove, IL 60089-2082
Phone (847) 459-1160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)25
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.160436ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Institute of Advanced Surgery Surgery CurrentSince Aug 1, 2022 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jun 22, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 22, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

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

650 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (630) 368-1776

29373 Network Pl
Chicago, IL 60673

3000 N Halsted St
Ste 703
Chicago, IL 60657
Phone (773) 296-6666

200 W Superior St
Ste 300
Chicago, IL 60654
Phone (773) 327-6800

1875 Dempster St
Ste 280
Park Ridge, IL 60068
Phone (847) 318-9071

1875 W Dempster St
Ste 425
Park Ridge, IL 60068
Phone (708) 698-9330

1875 W Dempster St
Ste 465
Park Ridge, IL 60068
Phone (847) 318-9071

Interoperability endpoints

  • Direct secure messaging: vlyuksemburg343167@direct.myadvocateaurora.org
  • FHIR API: https://api.platform.athenahealth.com/6721/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1912431735",
    "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": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 280",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681157",
            "telephone_number": "847-390-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYUKSEMBURG",
        "first_name": "VADIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.160436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlyuksemburg343167@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1875 Dempster St Ste 280",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681157",
            "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": "1875 Dempster St Ste 280",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.