STANISLAV POLINKEVYCH MD - NPI 1316469430 - Family Medicine in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Stanislav Polinkevych Md NPPES

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

STANISLAV POLINKEVYCH MD (NPI 1316469430) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125069845) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1316469430

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSTANISLAV POLINKEVYCHCredential: MD

Location Address1501 S CALIFORNIA AVE STE L1026Chicago, IL 60608-1732

Mailing Address1501 S California Ave Ste L1026Chicago, IL 60608-1732 · (773) 257-6097

Phone(773) 257-6097

Fax(773) 257-6045

Sole ProprietorNo

Enumeration DateJuly 11, 2017

Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1316469430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125069845

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1501 S CALIFORNIA AVE STE L1026, Chicago, IL 60608

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Secondary Practice Location 1

Location 1830 Washington StWatertown, NY 13601-4034 · Phone (315) 785-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanislav Polinkevych 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 60608 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

$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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier14 claims14 services$83.19 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 7

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

SUYEUN BAN

Family Medicine