NPIMap

Individual provider Active NPI

Boris Sheynin, M.D.

  • Internal Medicine Physician
  • Skokie, IL
National Provider Identifier
1952359440
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-105856 Issued in IL
Practice address
4555 Oakton St
Skokie, IL 60076-3178
Phone
(847) 982-9988
Fax
(847) 982-9789
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-105856 IL Primary

Addresses

Primary practice location

4555 Oakton St
Skokie, IL 60076-3178

Mailing address

4555 Oakton St
Skokie, IL 60076-3178
Phone (847) 982-9988

Other identifiers 1

IdentifierTypeStateIssuer
036105856MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108001038 IL Practitioner - Internal Medicine 4183524093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vadim Edelstein MD LTDGroup PAC ID 5092615278, 4 clinicians

Practice addresses (Care Compare)

4555 Oakton St
Suite 1
Skokie, IL 60076-3178
Phone 8479829988802

Hospital & facility affiliations

  • Solaris Home Healthcare Home health agency, Northbrook, IL, CCN 148280
  • Residential Home Health Home health agency, Northbrook, IL, CCN 147001
  • Advanced Family Home Health 1, Inc Home health agency, Arlington Heights, IL, CCN 148244
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Warren Barr Lieberman Nursing home, Skokie, IL, CCN 145931
  • Aperion Care Niles Nursing home, Niles, IL, CCN 145999

Merit-based Incentive Payment System (MIPS)

Final score
96.06 of 100Reported as individual
Quality
89.08
Improvement activities
40
Cost
75.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105856ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vadim Edelstein MD LTD Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Lake Shore Adult & Geriatric Medicine, LTD Past Accepting new patients

Locations

4340 N Keystone Ave
Chicago, IL 60641
Phone (708) 545-8700

4555 Oakton St
Skokie, IL 60076
Phone (847) 982-9481

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

4555 Oakton St
#1
Skokie, IL 60076
Phone (847) 982-9988

5050 Touhy Ave
Skokie, IL 60077
Phone (847) 679-6100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDJACA
  • Direct secure messaging: boris.sheynin@mhgm.eclinicaldirectplus.com

Organizations & group practices 2

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 11

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1952359440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763178",
            "telephone_number": "847-982-9988",
            "fax_number": "847-982-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763178",
            "telephone_number": "847-982-9988",
            "fax_number": "847-982-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEYNIN",
        "first_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-105856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.