VILLAGE DOCTOR, LTD
NPI 1982814992
Clinic/Center - Primary Care in Chicago, IL

Active since May 22, 2007CLIA 14D2065347 · Waiver
809 N WESTERN AVE, CHICAGO, IL 60622(773) 276-8600(773) 276-8601 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Village Doctor, Ltd NPPES

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

VILLAGE DOCTOR, LTD (NPI 1982814992) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Iouri Melnik, President, as its authorized official.

NPPES Registry Identity

NPI1982814992
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE DOCTOR, LTD
Location Address809 N WESTERN AVEChicago, IL 60622-4637
Mailing Address809 N Western AveChicago, IL 60622-4637 · (773) 276-8600 · Fax (773) 276-8601
Fax(773) 276-8601
Organization SubpartNo
Authorized OfficialIouri MelnikPresident · (773) 276-8600
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982814992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
809 N WESTERN AVE, Chicago, IL 60622

Other Identifiers 1

Other01632565IL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Village Doctor, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Village Doctor, Ltd, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1235113747
2323 W CHICAGO AVE
Chicago, IL 60622
(773) 276-8600
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1720451099
2323 W CHICAGO AVE
Chicago, IL 60622
(773) 276-8600
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D2065347

Village Doctor Ltd · Chicago, IL
Active · expires Sep 8, 2027
CLIA Number14D2065347
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorIouri Melnik
Laboratory Phone(773) 276-8600
Laboratory LocationVillage Doctor Ltd2323 W Chicago Ave, Chicago, IL 60622
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Village Doctor, Ltd's NPI number?

The NPI number for Village Doctor, Ltd is 1982814992. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Village Doctor, Ltd located?

Village Doctor, Ltd is located at 809 N Western Ave, Chicago, IL 60622. The listed phone number is (773) 276-8600.

What is Village Doctor, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Village Doctor, Ltd enrolled in Medicare?

Yes. Village Doctor, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Village Doctor, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Village Doctor, Ltd, 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.

Does Village Doctor, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2065347) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Village Doctor, Ltd accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Village Doctor, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Village Doctor, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.