Active NPI
Clara Akhigbe, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1346281110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036085642
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036085642 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clara Akhigbe MD SC | General Practice | Current | 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
- 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.
-
- General Practice Physician
- Chicago, IL
- NPI 1407123433
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1013285477
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1639111933
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.