Alla Adelkhanova, MD
Individual provider Active NPI Internal Medicine Physician · Chicago, IL
NPI 1336870633 · NPPES record last updated Jun 19, 2022
Key facts
- NPI
- 1336870633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 125.079526 (IL)
- Practice address
- 1500 S Fairfield Ave
Chicago, IL 60608-1782 - Phone
- (773) 542-2000
- NPI assigned
- Jun 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Sinai Community Foundation
Practice addresses (Care Compare)
California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000
Hospital & facility affiliations
- Mt Sinai Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20250422002989 | IL | Practitioner - Internal Medicine | 6103341144 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.079526 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Internal Medicine | Current |
Accepting new patients |
| Sinai Community Foundation | Current |
Accepting new patients |
Locations
1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
Interoperability endpoints
- aadelkhanova174677@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.079526 | IL | Yes |
Addresses
Primary practice location
1500 S Fairfield Ave
Chicago, IL 60608-1782
Mailing address
720 S Wells St Apt 1120
Chicago, IL 60607-4791
Phone (312) 273-7412
Other providers in Chicago, IL
- Adelante, PC
- Funmi Adeleke
- Ibukunoluwa Oluwayemisi Adeleke
- Amanda Adeleye
- Arshya Adeli
- Caroline Bliss Adelman
- Jeremy S Adelman
- Bunmi Ehis Adelowo
- Jonathan Seth Adelstein
- Sarah Ashley Adelstein
All providers in Chicago, IL · Internal Medicine 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 Jun 19, 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.