Hiroyuki Abe
Individual provider Active NPI Diagnostic Radiology Physician · Chicago, IL
NPI 1275684243 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1275684243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036113928 (IL)
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (888) 824-0200
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Chicago
Practice addresses (Care Compare)
10855 Virginia St
Suite 1700
Crown Point, IN 46307-0210
Phone (888) 824-0200
17805 Halsted St
Homewood, IL 60430-2011
Phone (773) 702-1000
Hospital & facility affiliations
- The University of Chicago Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050817000429 | IL | Practitioner - Diagnostic Radiology | 2365472537 | Reassigns benefits to 2 organizations |
| I20240326003153 | IN | Practitioner - Diagnostic Radiology | 2365472537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113928 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Current |
Accepting new patients | |
| University of Chicago | Current |
Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700
17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300
10855 Virginia St
Ste 1700
Crown Point, IN 46307
10855 Virginia St
Ste 2800
Crown Point, IN 46307
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036113928 | IL | Yes |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | habemd22394@uchospital.direct-ci.com | University of Chicago Physicians Group |
Other providers in Chicago, IL
- Sarah Abdulmohsin
- Ritaj Abdulquani
- Noor Abdulrahman
- Sadiyah Abdur Rashid Hill
- Caroline Michelle Abe
- Kazuko Abe
- Mark Abe
- Habtamu Tamiru Abebe
- Michael Abecassis
- Zachary Avrom Abecassis
All providers in Chicago, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.