Individual provider Active NPI

Chinwendu Adaobi Ileka, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1306332895
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.071828 Issued in IL
Practice address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone
(312) 383-9465
Fax
(773) 564-5226
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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 125.071828 IL Primary

Addresses

Primary practice location

4646 N Marine Dr
Chicago, IL 60640-5759

Mailing address

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (312) 383-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20210614002981 NM Practitioner - Internal Medicine 9638581754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deming Hospital CorporationGroup PAC ID 4981599206, 11 clinicians

Practice addresses (Care Compare)

905 S 8TH St
Deming, NM 88030-4037
Phone (575) 543-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.071828ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deming Hospital Corporation Current Accepting new patients
Deming Hospital Corporation Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Deming Hospital Corporation CurrentSince Aug 2, 2021 Accepting new patients
Deming Hospital Corporation Past Accepting new patients

Locations

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

905 S 8th St
Ste B
Deming, NM 88030
Phone (575) 543-7200

Interoperability endpoints

  • Direct secure messaging: chinwendu.ileka.1@1596.direct.athenahealth.com
  • Direct secure messaging: cileka@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531008000000",
    "number": "1306332895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "312-383-9465",
            "fax_number": "773-564-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "312-383-9465",
            "fax_number": "773-564-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILEKA",
        "first_name": "CHINWENDU",
        "middle_name": "ADAOBI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.071828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.