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ALEX LICKERMAN M.D.
NPI 1891905998
Internal Medicine in Chicago, IL

Active since May 23, 2007Opted out of Medicare · through Apr 1, 2028
10 S RIVERSIDE PLZ STE 2225, CHICAGO, IL 60606(312) 374-5862(312) 628-5100 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alex Lickerman M.d. NPPES

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

ALEX LICKERMAN M.D. (NPI 1891905998) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036090525) and active in the NPI registry since May 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891905998
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEX LICKERMANCredential: M.D.
Location Address10 S RIVERSIDE PLZ STE 2225Chicago, IL 60606
Mailing Address10 S Riverside Plz Ste 2225Chicago, IL 60606-3707 · (312) 374-5862
Phone(312) 374-5862
Fax(312) 628-5100
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 20, 2018
✔ NPI 1891905998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036090525
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10 S RIVERSIDE PLZ STE 2225, Chicago, IL 60606
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Other Identifiers 1

Medicaid036090525IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alex Lickerman M.d. 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 April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 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 60606 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 2

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

IMAGINEMD
Internal Medicine
10 S RIVERSIDE PLZ STE 2225
CHICAGO, IL 60606
Cook County (312) 374-5860
DR. VICKI R SAMUELS M.D.
Family Medicine
10 S RIVERSIDE PLZ STE 2225
CHICAGO, IL 60606
Cook County (312) 273-4930

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 Alex Lickerman's NPI number?

The NPI number for Alex Lickerman is 1891905998. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Alex Lickerman located?

Alex Lickerman practices at 10 S Riverside Plz Ste 2225, Chicago, IL 60606. The listed phone number is (312) 374-5862.

What is Alex Lickerman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alex Lickerman enrolled in Medicare?

No. Alex Lickerman has opted out of Medicare through April 1, 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 Alex Lickerman was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.