Kofi Acheampong
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chicago, IL
NPI 1124828272 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1124828272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 924 E 57TH St # 104
Chicago, IL 60637-1455 - Phone
- (301) 232-2950
- NPI assigned
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260522002001 | MI | Order and Referring Only - Orthopedic Surgery |
4981174695 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
924 E 57TH St # 104
Chicago, IL 60637-1455
Mailing address
924 E 57TH St # 104
Chicago, IL 60637-1455
Other providers in Chicago, IL
- Aditi Anand Acharya
- Bharat Acharya
- Pooja Acharya
- Shiva Lal Acharya
- Dennis Kofi Acheampong
- Ijeoma Achebe
- Ikechukwu B Achebe
- James Bob Achebe
- Chad Achenbach
- John Castles Acheson
All providers in Chicago, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.