Individual provider Active NPI

Ermias Tilahun, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1285628768
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-094888 Issued in IL
Practice address
5015 N Paulina St Ste 101
Chicago, IL 60640-2756
Phone
(773) 907-3550
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-094888 IL Primary

Addresses

Primary practice location

5015 N Paulina St Ste 101
Chicago, IL 60640-2756

Mailing address

5015 N Paulina St Ste 101
Chicago, IL 60640-2756
Phone (773) 907-3550

Other identifiers 1

IdentifierTypeStateIssuer
036-094888-1MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000454 IL Practitioner - Internal Medicine 6507853918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ermias Tilahun MD SCGroup PAC ID 7113994302, 2 clinicians

Practice addresses (Care Compare)

5015 N Paulina St
Suite 101
Chicago, IL 60640-2756
Phone (773) 907-3550

Hospital & facility affiliations

  • Guardian Home Health Care, LLC Home health agency, Northfield, IL, CCN 147785
  • Methodist Hospital of Chicago Hospital, Chicago, IL, CCN 140197
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Alden Estates of Skokie Nursing home, Skokie, IL, CCN 145869
  • Citadel Care Center-Wilmette Nursing home, Wilmette, IL, CCN 145932
  • Alden Estates of Evanston Nursing home, Evanston, IL, CCN 145907
  • Harmony Healthcare & Rehab Ctr Nursing home, Chicago, IL, CCN 145775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-094888ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ermias Tilahun MD SC Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients

Locations

2740 W Foster Ave
Ste 114
Chicago, IL 60625
Phone (773) 907-3550

5015 N Paulina St
Ste 101
Chicago, IL 60640
Phone (773) 907-3550

Interoperability endpoints

  • Direct secure messaging: ermiastilahun@tmg.allscriptsdirect.net

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 8

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1285628768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-907-3550",
            "fax_number": "773-907-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-907-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILAHUN",
        "first_name": "ERMIAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-094888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-094888-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.