Andre Didenko, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209022735 Issued in IL

Practice address

999 N Plaza Dr Ste 270
Schaumburg, IL 60173-5493

Phone

(847) 496-4525

NPI assigned

Feb 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Unity Hospice of Chicagoland LLC

  • Community Based Hospice Care Agency
  • Chicago, IL
  • NPI 1598844474
  Medicare reassignment NPD
• Taras W. Didenko, MD, PC

  • Psychiatry Physician
  • Schaumburg, IL
  • NPI 1982997292
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1316539356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 270",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735493",
            "telephone_number": "847-496-4525",
            "fax_number": "847-660-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N PLAZA DR STE 270",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735493",
            "telephone_number": "847-496-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDENKO",
        "first_name": "ANDRE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209022735",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dulce Diaz Benitez, PHD
• Sebastian David Diaz Macuare
• Doel E. Diaz
• Tiffany Jessica Diaz, M.D.
• Grace Dickerson, RBT
• Taras W Didenko, M.D.
• Margaux N Dimaano
• Lauren Dineen-Griffin, LCSW
• Diya Medical, Inc
• Melody Dizon

• Family Nurse Practitioner in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.