Active NPI
Keimia Mehrabian, FNP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209030620
- Practice address
- 1725 W Harrison St Ste 1159
Chicago, IL 60612-3883 - Phone
- (312) 942-5020
- NPI assigned
- Oct 31, 2024
- Reactivated
- Jan 13, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209030620 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 1159
Chicago, IL 60612-3883
Mailing address
2333 W Saint Paul Ave Apt 209
Chicago, IL 60647-5342
Phone (832) 294-8742
Other practice location 1
675 N Saint Clair St
Chicago, IL 60611-5975
Phone (312) 664-3278
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020
Hospital & facility affiliations
- Rush University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020
1725 W Harrison St
Ste 838
Chicago, IL 60612
Phone (312) 421-2010
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1184269425
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1194547976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 W SAINT PAUL AVE APT 209",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606475342",
"telephone_number": "832-294-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1159",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123883",
"telephone_number": "312-942-5020"
}
],
"practiceLocations": [
{
"address_1": "675 N Saint Clair St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115975",
"country_code": "US",
"telephone_number": "312-664-3278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHRABIAN",
"first_name": "KEIMIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-31",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"deactivation_date": "2024-12-30",
"reactivation_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209030620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 14, 2025; 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.