Individual provider Active NPI

Kinfe Gebeyehu, MD

  • Primary Care Clinic/Center
  • Oak Park, IL
National Provider Identifier
1225346885
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
1125 Clinton Ave
Oak Park, IL 60304-1825
Phone
(708) 383-8141
Fax
(708) 383-9140
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1125 Clinton Ave
Oak Park, IL 60304-1825

Mailing address

1125 Clinton Ave
Oak Park, IL 60304-1825
Phone (708) 383-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1225346885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CLINTON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041825",
            "telephone_number": "708-383-8141",
            "fax_number": "708-383-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CLINTON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041825",
            "telephone_number": "708-383-8141",
            "fax_number": "708-383-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBEYEHU",
        "first_name": "KINFE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.