ALEKSANDR PODOLSKIY MD
NPI 1619922135
Family Medicine in Libertyville, IL

Active since May 23, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 14D1055772 · Waiver
755 S MILWAUKEE AVE, SUITE 164, LIBERTYVILLE, IL 60048(847) 918-0430(847) 918-7850 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aleksandr Podolskiy Md NPPES

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

ALEKSANDR PODOLSKIY MD (NPI 1619922135) is an individual family medicine provider in Libertyville, Illinois, licensed in Illinois (036111753) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 25, 2028, and is affiliated with Northshore University Healthsystem - Evanston Hospital.

NPPES Registry Identity

NPI1619922135
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEKSANDR PODOLSKIYCredential: MD
Location Address755 S MILWAUKEE AVE, SUITE 164Libertyville, IL 60048
Mailing AddressPo Box 5979Buffalo Grove, IL 60089-5979
Fax(847) 918-7850
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 23, 2006
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
NPI 1619922135 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 · 036111753
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.
755 S MILWAUKEE AVE, Libertyville, IL 60048

Other Identifiers 1

Medicaid036111753IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Aleksandr Podolskiy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810957321
PECOS Enrollment IDI20041018001126
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1055772

Aleksandr Podolsky · Libertyville, IL
Active · expires Jun 25, 2028
CLIA Number14D1055772
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorAleksandr Podolsky
Laboratory Phone(847) 918-0430
Laboratory LocationAleksandr Podolsky755 S Milwaukee Ave Suite 164, Libertyville, IL 60048
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
397 services133 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
265 services133 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
69 services22 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
48 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers29 claims90 services$4.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers15 claims16 services$0.86 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
2 suppliers22 claims22 services$10.03 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$39.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.03 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.69 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 20

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

Urology
755 S MILWAUKEE AVE, STE 263
LIBERTYVILLE, IL 60048
Internal Medicine (Rheumatology)
755 S MILWAUKEE AVE, SUITE 250
LIBERTYVILLE, IL 60048
Specialist
755 S MILWAUKEE AVE, SUITE 220
LIBERTYVILLE, IL 60048
Physical Therapist (Pediatrics)
755 S MILWAUKEE AVE, SUITE 283
LIBERTYVILLE, IL 60048
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 S MILWAUKEE AVE, SUITE 186
LIBERTYVILLE, IL 60048
Hearing Instrument Specialist
755 S MILWAUKEE AVE, SUITE 189
LIBERTYVILLE, IL 60048
Nurse Practitioner (Family)
755 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Nurse Practitioner (Primary Care)
755 S MILWAUKEE AVE
LIBERTYVILLE, IL 60048

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 Aleksandr Podolskiy's NPI number?

The NPI number for Aleksandr Podolskiy is 1619922135. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Aleksandr Podolskiy located?

Aleksandr Podolskiy practices at 755 S Milwaukee Ave Suite 164, Libertyville, IL 60048. The listed phone number is (847) 918-0430.

What is Aleksandr Podolskiy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aleksandr Podolskiy enrolled in Medicare?

Yes. Aleksandr Podolskiy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Aleksandr Podolskiy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1055772) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Aleksandr Podolskiy affiliated with any hospitals?

According to CMS data, Aleksandr Podolskiy is affiliated with Northshore University Healthsystem - Evanston Hospital, Advocate Condell Medical Center, Northwestern Medicine Central Dupage Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Aleksandr Podolskiy was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.