Alexander Yanovskiy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005284 Issued in IL

Practice address

1400 E Golf Rd Ste 201
Des Plaines, IL 60016-8821

Phone

(847) 294-3338

Fax

(847) 906-1092

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Il Foot and Ankle Clinic Medical CorpGroup PAC ID 8820183742, 6 clinicians

Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Il Foot & Ankle Clinic Medical Corp

  • Foot & Ankle Surgery Podiatrist
  • Des Plaines, IL
  • NPI 1295925899
  Medicare reassignment Care Compare group NPD Authorized official
• Medora LLC

  • Podiatrist
  • Des Plaines, IL
  • NPI 1134018989
  Medicare reassignment NPD Authorized official
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Medicare reassignment Care Compare group NPD
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  NPD

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

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1992724488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD STE 201",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168821",
            "telephone_number": "847-298-3338",
            "fax_number": "847-298-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD STE 201",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168821",
            "telephone_number": "847-294-3338",
            "fax_number": "847-906-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANOVSKIY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005284",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005284",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ANLI.INC2014@GMAIL.COM",
            "affiliation": "N",
            "address_1": "1400 E Golf Rd Ste 201",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600168821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harold Orville Wyckoff Jr., D.D.S.
• George J Wyhinny, MD
• Patrica P Wyhinny, MD
• Xcel Med, LLC
• Tao Xiong Smith, LAC
• Yvonne Yap
• Yelena M Revich DDS LTD
• Sharon Sookhyung Yim, PHARMD
• Susan Mary Young, RN
• Susan Ninan Zachariah

• Podiatrist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.