ALEX KOSTIV (M.D.) – Family Medicine Physician, NPI 1639317217

ALEX KOSTIV (M.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036.127007 (IL). The NPI Number for ALEX KOSTIV (M.D.) is 1639317217

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
ALEX KOSTIV (M.D.)
NPI
1639317217
Phone
(847) 858-7367
Address
PO BOX 2056
Enumeration Date
4 February 2009
Last Update Date
12 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478250800
Graduation Year
1995 (31 years ago)
PAC ID
4183894157
Group Practice PAC ID
3072545896
Professional Enrollment ID
I20110830000494
Address ID
IL607143186NI7900XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for ALEX KOSTIV (M.D.)

  • Northbrook Post Office, 1529, West Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States

    SUITE 190

    NORTHBROOK, IL 600652056

    Phone: (847) 858-7367

    Fax: (847) 825-0803

    Type: Mailing

  • 565, Lakeview Parkway, Vernon Hills, Illinois, 60061, United States

    SUITE 190

    VERNON HILLS, IL 600611857

    Phone: (847) 549-3171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $2,054.

Total Amount is formed as General ($2,054) + Research ($0) + Ownership ($0) = $2,054.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($698).

Total Amount

$2,054

General + Research + Ownership

Payments

75

Total payment records

General Amount

$2,054

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-08-30

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
I20110830000494IFamily PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes371143$0
99214Established patient office or other outpatient visit, 30-39 minutes22971$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14537$0
36415Insertion of needle into vein for collection of blood sample9854$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5238$0
View full utilization report →

Insurance plans in this area (ZIP 60065)

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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: 3072545896View full group profile
NameSpecialtyState
Internal MedicineIL
-IL
Nurse PractitionerIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm ALEX KOSTIV (M.D.)'s NPI?
Yes. ALEX KOSTIV (M.D.) is listed with NPI 1639317217 in the public NPI dataset.
Can I rely on ALEX KOSTIV (M.D.) being an active provider?
As of the registry snapshot, ALEX KOSTIV (M.D.) is marked active.
What taxonomy line describes ALEX KOSTIV (M.D.)?
For research purposes, treat ALEX KOSTIV (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does ALEX KOSTIV (M.D.) list a practice location?
Patients near Northbrook, Illinois may find ALEX KOSTIV (M.D.) in results; validate coverage separately.
Is the information about ALEX KOSTIV (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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