Active NPI
Cagatay H Ersahin, MD
- Anatomic Pathology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 036-112169
- Practice address
- 2160 S First Ave
EMS BLDG., RM. 2209
Maywood, IL 60153 - Phone
- (708) 216-3250
- Fax
- (708) 216-2620
- NPI assigned
- Feb 1, 2007
- Last updated
- Sep 3, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 036-112169 | IL | Primary |
Addresses
Primary practice location
2160 S First Ave
EMS BLDG., RM. 2209
Maywood, IL 60153
Mailing address
2160 S First Ave
EMS BLDG., RM. 2209
Maywood, IL 60153
Phone (708) 216-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (630) 581-6503
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-112169 | IL | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Gastroenterology SC | Current | Accepting new patients | |
| Silver Cross Hospital & Medical Centers | Current | Accepting new patients | |
| Associated Laboratory Physicians SC | Current | Accepting new patients |
Locations
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
3 N Main St
Manteno, IL 60950
Phone (833) 368-8688
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- New Lenox, IL
- NPI 1902144926
-
- Anatomic Pathology & Clinical Pathology Physician
- Harvey, IL
- NPI 1033109897
-
- Gastroenterology Physician
- Manteno, IL
- NPI 1578235883
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1053459412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S FIRST AVE",
"address_2": "EMS BLDG., RM. 2209",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-3250",
"fax_number": "708-216-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S FIRST AVE",
"address_2": "EMS BLDG., RM. 2209",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-3250",
"fax_number": "708-216-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERSAHIN",
"first_name": "CAGATAY",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "IL",
"license": "036-112169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.