MIKHAIL KHODARKOVSKIY M.D. – NPI #1215919196
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

MIKHAIL KHODARKOVSKIY is a physician located in MUNDELEIN, IL. NPPES has assigned the NPI number 1215919196 to MIKHAIL KHODARKOVSKIY on November 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Aug 12, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIKHAIL KHODARKOVSKIY below.

NPI Profile for
MIKHAIL KHODARKOVSKIY

NPI Number
1215919196
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MIKHAIL KHODARKOVSKIY
Credentials
M.D.
Primary location
333 E IL ROUTE 83 STE 105
MUNDELEIN, IL 60060-4278
Phone: (847) 970-9922 Fax: (847) 970-9955
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIKHAIL KHODARKOVSKIY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL036-107538-4
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 036-107538

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MIKHAIL KHODARKOVSKIY is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE CONDELL MEDICAL CENTER
      801 S MILWAUKEE AVE
      LIBERTYVILLE, IL 60048
    • CENTRAL DUPAGE HOSPITAL
      25 NORTH WINFIELD ROAD
      WINFIELD, IL 60190
    • NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
      2650 RIDGE AVE
      EVANSTON, IL 60201
    • NORTHWEST COMMUNITY HOSPITAL 1
      800 W CENTRAL ROAD
      ARLINGTON HEIGHTS, IL 60005
    • NORTHWESTERN LAKE FOREST HOSPITAL
      1000 N WESTMORELAND ROAD
      LAKE FOREST, IL 60045
  • HOME HEALTH AGENCY
    • ADVANCED HOME HEALTH SERVICES, INC
      3000 DUNDEE ROAD SUITE 109
      NORTHBROOK, IL 60062
    • ADVANTA HOME HEALTH CARE, INC
      1500 SKOKIE BOULEVARD, STE 410
      NORTHBROOK, IL 60062
    • ELITE HOME HEALTH CARE, INC
      3100 DUNDEE ROAD, SUITE 304
      NORTHBROOK, IL 60062
    • PROGRESSIVE HOME HEALTH CARE
      601 SKOKIE BLVD, SUITE 303
      NORTHBROOK, IL 60062
    • SENIOR HOME HEALTH AGENCY
      1550 N NORTHWEST HWY, STE 350
      PARK RIDGE, IL 60068
  • NURSING HOME
    • AVANTARA LONG GROVE
      1666 CHECKER ROAD
      LONG GROVE, IL 60047
    • DEERFIELD CROSSING NORTHBROOK
      4101 LAKE COOK ROAD
      NORTHBROOK, IL 60062
    • WARREN BARR LINCOLNSHIRE
      150 JAMESTOWN LANE
      LINCOLNSHIRE, IL 60069
  • HOSPICE
    • ADVOCATE HOSPICE
      2000 SPRINGER DRIVE
      LOMBARD, IL 60148
    • V CARE HOSPICE SERVICES OF ILLINOIS
      3100 DUNDEE ROAD, SUITE 303
      NORTHBROOK, IL 60062

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Can I hide my NPI profile from the public?
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