DR. GENNADIY VORONOV (M.D.) – Anesthesiology Physician, NPI 1124147566

DR. GENNADIY VORONOV (M.D.) is a healthcare provider. based in Buffalo grove, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-104566 (IL). The NPI Number for DR. GENNADIY VORONOV (M.D.) is 1124147566

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GENNADIY VORONOV (M.D.)
NPI
1124147566
Phone
(847) 459-9422
Address
725 HORATIO BLVD
Enumeration Date
28 March 2007
Last Update Date
4 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123554300
Graduation Year
1987 (39 years ago)
PAC ID
9133301153
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20110314000116
Address ID
IL606123747CH1009XSTXX400

Contacts

Secure Messaging
gvoronov@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,631 ANESTHESIOLOGY in IL

Provider Addresses for DR. GENNADIY VORONOV (M.D.)

  • 725 HORATIO BLVD

    BUFFALO GROVE, IL 600896416

    Phone: (847) 459-9422

    Type: Mailing

  • 1901 W HARRISON ST

    CHICAGO, IL 606123714

    Phone: (312) 864-1903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110314000116IAnesthesiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60089)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

Is DR. GENNADIY VORONOV (M.D.) listed with a National Provider Identifier?
Yes — DR. GENNADIY VORONOV (M.D.) has NPI 1124147566 on file in the registry.
Is DR. GENNADIY VORONOV (M.D.) shown as active in public data?
Registry records indicate DR. GENNADIY VORONOV (M.D.) maintains an active NPI.
What expertise is attributed to DR. GENNADIY VORONOV (M.D.)?
DR. GENNADIY VORONOV (M.D.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. GENNADIY VORONOV (M.D.) associated with Buffalo Grove?
Public fields place DR. GENNADIY VORONOV (M.D.) around Buffalo Grove, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. GENNADIY VORONOV (M.D.) is noted as March 28, 2007 where the registry provides it.

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