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ALEXANDRA POLOVNEFF MD
NPI 1083315030
Plastic Surgery in Chicago, IL

Active since March 16, 2023PECOS Enrolled
5841 S. MARYLAND AVE., PLASTIC SURGERY DEPARTMENT, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2024, May 13, 2024, Mar 16, 2023 (3 updates tracked since 2023).

About Alexandra Polovneff Md NPPES

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

ALEXANDRA POLOVNEFF MD (NPI 1083315030) is an individual plastic surgery provider in Chicago, Illinois, licensed in Illinois (125084055) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083315030
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameALEXANDRA POLOVNEFFCredential: MD
Location Address5841 S. MARYLAND AVE., PLASTIC SURGERY DEPARTMENTChicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(888) 824-0200
Sole ProprietorNo
Enumeration DateMarch 16, 2023
Last NPPES UpdateSeptember 2, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1083315030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IL · 125084055
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

5841 S. MARYLAND AVE., Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Polovneff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW BONOMO MD
Emergency Medicine
5841 S. MARYLAND AVE., M/C 5068
CHICAGO, IL 60637
Cook County (773) 702-9109
LINDSAY GUGERTY DO
Student in an Organized Health Care Education/Training Program
5841 S. MARYLAND AVE., MC 2050
CHICAGO, IL 60637
Cook County (773) 702-0840
ANJALI PATEL
Student in an Organized Health Care Education/Training Program
5841 S. MARYLAND AVE., MAILCODE 4028
CHICAGO, IL 60637
Cook County (773) 702-6842
HANI SHAYYA
Internal Medicine
5841 S. MARYLAND AVE., M/C 7082
CHICAGO, IL 60637
Cook County (773) 702-6840
PARAMESH VIDYANAND KARANDIKAR MD
Student in an Organized Health Care Education/Training Program
5841 S. MARYLAND AVE., M/C 2026
CHICAGO, IL 60637
Cook County (773) 702-9662
EMILY SYMES MD
Student in an Organized Health Care Education/Training Program
5841 S. MARYLAND AVE., M/C 3083
CHICAGO, IL 60637
Cook County (773) 834-7708
MS. JODEL LYNN POWERS FNP-BC
Nurse Practitioner (Family)
5841 S. MARYLAND AVE., RM E-500, MC 5040
CHICAGO, IL 60637
Cook County (773) 702-3554
CONNOR LYNCH MD
Radiology (Radiation Oncology)
5841 S. MARYLAND AVE., M/C 9006
CHICAGO, IL 60637
Cook County (773) 795-0528

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 Alexandra Polovneff's NPI number?

The NPI number for Alexandra Polovneff is 1083315030. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Alexandra Polovneff located?

Alexandra Polovneff practices at 5841 S. Maryland Ave. Plastic Surgery Department, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Alexandra Polovneff's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Alexandra Polovneff enrolled in Medicare?

Yes. Alexandra Polovneff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Polovneff was last updated on September 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.