Individual provider Active NPI

Emre N. Yedidag, M.D.

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1124051933
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036.118805 Issued in IL
Practice address
2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365
Phone
(773) 292-4800
Fax
(773) 486-3548
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2005-0749 NM
Surgery Physician 208600000X 036.118805 IL Primary

Addresses

Primary practice location

2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365

Mailing address

2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365
Phone (773) 292-4800

Other names 1

  • Mr. Necmi Emre Yedidag Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.118805ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1124051933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST STE 3",
            "address_2": "C/O MR. SCOTT SCHNEIDER, PRESIDENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122365",
            "telephone_number": "773-292-4800",
            "fax_number": "773-486-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W FULTON ST STE 3",
            "address_2": "C/O MR. SCOTT SCHNEIDER, PRESIDENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122365",
            "telephone_number": "773-292-4800",
            "fax_number": "773-486-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDIDAG",
        "first_name": "EMRE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2005-0749",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.118805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NECMI",
            "last_name": "YEDIDAG",
            "middle_name": "EMRE",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.