Active NPI
Youssef Hedroug
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036156997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Hospital & facility affiliations
- Saint Francis Medical Center
- St Anthonys Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1144710385 | MI | MD | Emergency Medicine Physician |
Practice roles
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
- 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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
- Critical Access Hospital
- Shelbyville, IL
- NPI 1053348532
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Belleville, IL
- NPI 1194736728
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.