Individual provider Active NPI

Clara Akhigbe, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1346281110
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036085642 Issued in IL
Practice address
6307 S Stewart Ave Ste 313
Chicago, IL 60621-3116
Phone
(773) 962-0633
Fax
(773) 994-2174
NPI assigned
Jun 10, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036085642 IL Primary
General Practice Physician 208D00000X 036085642 IL

Addresses

Primary practice location

6307 S Stewart Ave Ste 313
Chicago, IL 60621-3116

Mailing address

71 Regent Drive
Oak Brook, IL 60523
Phone (773) 962-0633

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
I20140609001600 IL Practitioner - Pediatric MedicinePractitioner - General Practice 4183848377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6307 S Stewart Ave
Suite 313
Chicago, IL 60621-3116
Phone (773) 962-0633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085642ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Akhigbe MD SC General Practice CurrentSince Apr 6, 2014 Accepting new patients
Clara Akhigbe MD Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients

Locations

6307 S Stewart Ave
Ste 313
Chicago, IL 60621
Phone (773) 962-0633

Interoperability endpoints

  • Direct secure messaging: cakhigbe@direct-address.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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1346281110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 REGENT DRIVE",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "773-962-0633",
            "fax_number": "773-994-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-962-0633",
            "fax_number": "773-994-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHIGBE",
        "first_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036085642",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036085642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.