Individual provider Active NPI

Ellen Rakhman, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1215575402
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041.395021 Issued in IL
Practice address
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone
(847) 673-5166
Fax
(847) 673-5636
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 041.395021 IL Primary

Addresses

Primary practice location

6201 W Touhy Ave
Chicago, IL 60646-1100

Mailing address

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

Other identifiers 1

IdentifierTypeStateIssuer
041.395021OtherILLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124000036 IL Practitioner - Nurse Practitioner 9830524669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

3445 N Central Ave
Chicago, IL 60634-4420
Phone (773) 205-0800

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041.395021ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

5240 N Pulaski Rd
Chicago, IL 60630
Phone (773) 267-6922

6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

5240 N Pulaski Rd
Ste J
Chicago, IL 60630
Phone (773) 258-5200

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.

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1215575402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "847-673-5166",
            "fax_number": "847-673-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHMAN",
        "first_name": "ELLEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041.395021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "041.395021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.