DR. ALISSA NESTERENKO DO
NPI 1265174338
Student in an Organized Health Care Education/Training Program in Olympia Fields, IL

Active since April 10, 2022PECOS Enrolled
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461(708) 747-4000 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2022, Apr 10, 2022 (2 updates tracked since 2022).

About Dr. Alissa Nesterenko Do NPPES

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

DR. ALISSA NESTERENKO DO (NPI 1265174338) is an individual student in an organized health care education/training program in Olympia Fields, Illinois and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265174338
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALISSA NESTERENKOCredential: DO
Location Address20201 CRAWFORD AVEOlympia Fields, IL 60461-1010
Mailing Address20201 Crawford AveOlympia Fields, IL 60461-1010 · (708) 747-4000
Sole ProprietorNo
Enumeration DateApril 10, 2022
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1265174338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20201 CRAWFORD AVE, Olympia Fields, IL 60461

Other Names 1

Other Name (5)Dr. Alissa Nesterenko Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alissa Nesterenko Do 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.

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.

Ambulance
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE, ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS
OLYMPIA FIELDS, IL 60461
Pathology (Anatomic Pathology & Clinical Pathology)
20201 CRAWFORD AVE, ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS
OLYMPIA FIELDS, IL 60461
Psychologist (Health Service)
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Emergency Medicine
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Emergency Medicine
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Anesthesiology
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Emergency Medicine
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL 60461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265174338, enumerated as an "individual" on April 10, 2022.

The provider is located at 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 and the phone number is (708) 747-4000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.