Individual provider Active NPI

Youssef Hedroug

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1144710385
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036156997 Issued in IL
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-1553
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1144710385 MI
Emergency Medicine Physician 207P00000X MD-53081 IA
Emergency Medicine Physician 207P00000X 036156997 IL Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1037 Oakwood Drive
Westmont, IL 60559
Phone (630) 776-2463

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823000165 IL Practitioner - Emergency Medicine 9436554946 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144710385MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Jan 1, 2024 Accepting new patients
St Josephs Hospital Breese of the Hospital Sisters of the Third Orde CurrentSince Jan 1, 2024 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Jan 1, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
HSHS Good Shepherd Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
St Francis Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 2024 Accepting new patients
HSHS Holy Family Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 3, 2024 Accepting new patients
HSHS Good Shepherd Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order CurrentSince Jan 1, 2024 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2022 Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order Current Accepting new patients
St Elizabeths Hospital of the Hospital Sisters of the Third Order CurrentSince Jan 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 11, 2023 Accepting new patients
St Josephs Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Jan 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 11, 2023 Accepting new patients
Associated Pathologists LTD Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

200 Health Care Dr
#1501
Greenville, IL 62246
Phone (616) 664-1230

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

200 S Cedar St
Shelbyville, IL 62565
Phone (217) 774-3961

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Interoperability endpoints

  • Direct secure messaging: youssef.hedroug.1@11356.direct.athenahealth.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144710385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 OAKWOOD DRIVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-776-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDROUG",
        "first_name": "YOUSSEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "1144710385",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-53081",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036156997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.