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DR. ALEXANDER EDUARD OBOLSKY MD
NPI 1376682476
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since February 05, 2007Opted out of Medicare · through May 6, 2028
53 W JACKSON BLVD STE 1260, CHICAGO, IL 60604(312) 456-4343(312) 456-8304 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alexander Eduard Obolsky Md NPPES

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

DR. ALEXANDER EDUARD OBOLSKY MD (NPI 1376682476) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036081074) and active in the NPI registry since February 2007. He has opted out of Medicare through May 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376682476
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ALEXANDER EDUARD OBOLSKYCredential: MD
Location Address53 W JACKSON BLVD STE 1260Chicago, IL 60604-3631
Mailing Address53 W Jackson Blvd Ste 1260Chicago, IL 60604-3631 · (312) 456-4343 · Fax (312) 456-8304
Phone(312) 456-4343
Fax(312) 456-8304
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
✔ NPI 1376682476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036081074
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
53 W JACKSON BLVD STE 1260, Chicago, IL 60604
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Alexander Eduard Obolsky Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 6, 2016 through May 6, 2028.

Opt-Out Effective DateMay 6, 2016
Opt-Out In Effect ThroughMay 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
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

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

ILLUMENTAL COUNSELING AND PSYCHIATRY, PLLC
Psychiatry & Neurology (Psychiatry)
53 W JACKSON BLVD STE 1260
CHICAGO, IL 60604
Cook County (312) 456-0225

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 Alexander Obolsky's NPI number?

The NPI number for Alexander Obolsky is 1376682476. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Alexander Obolsky located?

Alexander Obolsky practices at 53 W Jackson Blvd Ste 1260, Chicago, IL 60604. The listed phone number is (312) 456-4343.

What is Alexander Obolsky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Alexander Obolsky enrolled in Medicare?

No. Alexander Obolsky has opted out of Medicare through May 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alexander Obolsky was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.