A PODOLSKIY MD SC
NPI 1578634168
Family Medicine in Libertyville, IL
About A Podolskiy Md Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
A PODOLSKIY MD SC (NPI 1578634168) is a healthcare organization registered as a family medicine in Libertyville, Illinois and active in the NPI registry since November 2006. The organization lists Aleksandr Podolskiy, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
A Podolskiy Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to A Podolskiy MD Sc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 A Podolskiy MD Sc's NPI number?
The NPI number for A Podolskiy MD Sc is 1578634168. It was assigned to this organization in the NPPES registry on November 13, 2006.
Where is A Podolskiy MD Sc located?
A Podolskiy MD Sc is located at 755 S Milwaukee Ave Suite 164, Libertyville, IL 60048. The listed phone number is (847) 918-0430.
What is A Podolskiy MD Sc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is A Podolskiy MD Sc enrolled in Medicare?
Yes. A Podolskiy MD Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through A Podolskiy MD Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to A Podolskiy MD Sc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for A Podolskiy MD Sc was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# A Podolskiy Md Sc · NPI 1578634168
Family Medicine organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1578634168 (Entity type: Organization)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Aleksandr Podolskiy, MEDICAL DIRECTOR
## Practice location
- **Address:** 755 S MILWAUKEE AVE, SUITE 164, Libertyville, IL 60048-3253
- **Phone:** (847) 918-0430
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2013
- **Other identifiers:** Medicare UPIN I18369 (IL); Medicaid 036111753 (IL); Medicare ID-Type Unspecified K28521 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578634168) · Data from the CMS NPPES public registry.