NEPHTALI KOGAN M.D.
NPI 1053364042
Internal Medicine - Interventional Cardiology in Elk Grove Village, IL

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
800 BIESTERFIELD RD STE G01, ELK GROVE VILLAGE, IL 60007(847) 981-3680 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nephtali Kogan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEPHTALI KOGAN M.D. (NPI 1053364042) is an individual interventional cardiology provider in Elk Grove Village, Illinois, licensed in Illinois (036-078655) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1987).

NPPES Registry Identity

NPI1053364042
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameNEPHTALI KOGANCredential: M.D.
Location Address800 BIESTERFIELD RD STE G01Elk Grove Village, IL 60007-3372
Mailing Address800 Biesterfield Rd Ste G01Elk Grove Village, IL 60007-3372 · (847) 981-3680
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1987
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1053364042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IL · 036-078655
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036078655 (IL)
800 BIESTERFIELD RD STE G01, Elk Grove Village, IL 60007

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nephtali Kogan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587646534
PECOS Enrollment IDI20050408001071
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
570 services456 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
366 services362 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
325 services184 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
212 services206 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services135 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$68.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
800 BIESTERFIELD RD STE G01
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Cardiovascular Disease)
800 BIESTERFIELD RD STE G01
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Cardiovascular Disease)
800 BIESTERFIELD RD STE G01, WIMMER BUILDING
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Clinical Cardiac Electrophysiology)
800 BIESTERFIELD RD STE G01, WIMMER BUILDING
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Interventional Cardiology)
800 BIESTERFIELD RD STE G01
ELK GROVE VILLAGE, IL 60007
Clinical Nurse Specialist
800 BIESTERFIELD RD STE G01, WIMMER BUILDING
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Interventional Cardiology)
800 BIESTERFIELD RD STE G01, WIMMER BUILDING
ELK GROVE VILLAGE, IL 60007
Internal Medicine (Cardiovascular Disease)
800 BIESTERFIELD RD STE G01
ELK GROVE VILLAGE, IL 60007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nephtali Kogan's NPI number?

The NPI number for Nephtali Kogan is 1053364042. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Nephtali Kogan located?

Nephtali Kogan practices at 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007. The listed phone number is (847) 981-3680.

What is Nephtali Kogan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Nephtali Kogan enrolled in Medicare?

Yes. Nephtali Kogan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nephtali Kogan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Nephtali Kogan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nephtali Kogan affiliated with any hospitals?

According to CMS data, Nephtali Kogan is affiliated with Northwestern Medicine Central Dupage Hospital, Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Nephtali Kogan was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.