ALEXANDRA POLOVNEFF MD
NPI 1083315030
Plastic Surgery in Chicago, IL
NPI Status: Active since March 16, 2023
Contact Information
5841 S. MARYLAND AVE.
PLASTIC SURGERY DEPARTMENT
CHICAGO, IL
ZIP 60637
Phone: (888) 824-0200
- Individual
- Female
- Plastic Surgery
- PECOS Enrolled
About ALEXANDRA POLOVNEFF
This page provides the complete NPI Profile along with additional information for Alexandra Polovneff, a provider established in Chicago, Illinois with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1083315030 assigned on March 2023. The practitioner's primary taxonomy code is 208200000X with license number 125084055 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1083315030
- Provider Name
- ALEXANDRA POLOVNEFF MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5841 S. MARYLAND AVE. PLASTIC SURGERY DEPARTMENT CHICAGO, IL 60637
- Location Phone
- (888) 824-0200
- Mailing Address
- 180 HARVESTER DR STE 110 BURR RIDGE, IL 60527
- Mailing Phone
- (773) 702-1150
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-16-2023
- Last Update Date
- 09-02-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125084055
- License State
- IL
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Medicare Participation & PECOS Enrollment Status
Alexandra Polovneff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60637 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $74.8
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $18.7
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 3 | 1 | 5 | 0 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 6 | 1 | 10 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 6 + 1 + 1 + 0 + 0 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1083315030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083966188 | MS. JODEL LYNN POWERS FNP-BC Individual | Nurse Practitioner (Family) | 5841 S. MARYLAND AVE. RM E-500, MC 5040 CHICAGO, IL 60637 (773) 702-3554 |
| 1508955394 | KRISTY TODD PA-C Individual | Physician Assistant | 5841 S. MARYLAND AVE. MC 5040, SUITE E500 CHICAGO, IL 60637 (773) 702-5267 |
| 1356723811 | VICTOR GERMAN PATRON ROMERO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 5841 S. MARYLAND AVE. M/C 3077 CHICAGO, IL 60637 (773) 702-0529 |
| 1669899316 | DR. MEGAN CHANDRAN DO Individual | Radiology (Diagnostic Radiology) | 5841 S. MARYLAND AVE. M/C 2026 CHICAGO, IL 60637 (773) 834-9980 |
| 1932660412 | MARY ELIZABETH ACOSTA Individual | Internal Medicine | 5841 S. MARYLAND AVE. M/C 7082 CHICAGO, IL 60637 (773) 702-4145 |
| 1952888059 | NASYA MENDOZA-ELIAS Individual | Neurological Surgery | 5841 S. MARYLAND AVE. M/C 31026 CHICAGO, IL 60637 (773) 702-2123 |
| 1568023166 | CAROL YEOJIN PARK M.D. Individual | Pediatrics | 5841 S. MARYLAND AVE. M/C 8016 CHICAGO, IL 60637 (773) 702-0660 |
| 1568082188 | DR. MATTHEW LAW MD Individual | Anesthesiology | 5841 S. MARYLAND AVE. M/C 4028 CHICAGO, IL 60637 (773) 702-6842 |
| 1427611920 | DR. DAVID GRANDE MD Individual | Otolaryngology | 5841 S. MARYLAND AVE. M/C 1035 CHICAGO, IL 60637 (773) 702-1865 |
| 1609458462 | SALIHA CELTIK MD Individual | Student in an Organized Health Care Education/Training Program | 5841 S. MARYLAND AVE. M/C 4028 CHICAGO, IL 60637 (773) 702-6842 |
| 1225610462 | REBECCA TANENBAUM MD Individual | Ophthalmology | 5841 S. MARYLAND AVE. M/C 2114 CHICAGO, IL 60637 (773) 702-3937 |
| 1083295489 | EMILY SYMES MD Individual | Student in an Organized Health Care Education/Training Program | 5841 S. MARYLAND AVE. M/C 3083 CHICAGO, IL 60637 (773) 834-7708 |
| 1851893994 | LUIS ALEJANDRO DE JESUS SANCHEZ MD Individual | Radiology (Diagnostic Radiology) | 5841 S. MARYLAND AVE. MC 2026 CHICAGO, IL 60637 (773) 702-3550 |
| 1831770056 | DR. OLIVIA VASSILIKI CANGELLARIS MD, PHD Individual | Pediatrics | 5841 S. MARYLAND AVE. MC 8016 CHICAGO, IL 60637 (773) 702-6435 |
| 1871175760 | MICHAEL MAYER Individual | Internal Medicine | 5841 S. MARYLAND AVE. M/C 7082 CHICAGO, IL 60637 (773) 702-6840 |
| 1114382355 | CONNOR LYNCH MD Individual | Radiology (Radiation Oncology) | 5841 S. MARYLAND AVE. M/C 9006 CHICAGO, IL 60637 (773) 795-0528 |
| 1265964746 | TOTAM NGO MD Individual | Student in an Organized Health Care Education/Training Program | 5841 S. MARYLAND AVE. MAILCODE 4028 CHICAGO, IL 60637 (773) 702-6842 |
| 1649936485 | ALISHA ROSE WILSON APN Individual | Nurse Practitioner (Family) | 5841 S. MARYLAND AVE. CHICAGO, IL 60637 (773) 702-7408 |
| 1003551672 | MATTHEW BONOMO MD Individual | Emergency Medicine | 5841 S. MARYLAND AVE. M/C 5068 CHICAGO, IL 60637 (773) 702-9109 |
| 1356876916 | NEETAL BHAVE Individual | Radiology (Diagnostic Radiology) | 5841 S. MARYLAND AVE. MC 2026 CHICAGO, IL 60637 (773) 702-6024 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083315030, enumerated in the NPI registry as an "individual" on March 16, 2023
The provider is located at 5841 S. Maryland Ave. Plastic Surgery Department Chicago, Il 60637 and the phone number is (888) 824-0200
The provider's speciality is Plastic Surgery with taxonomy code 208200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $74.8 and an average copayment of 18.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 16, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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