Wendewessen Amde, M.D.
Individual provider Active NPI Ophthalmology Physician · Chicago, IL
NPI 1386837474 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1386837474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 036129646 (IL)
- Practice address
- 1 E Wacker Dr
Ste. #3150
Chicago, IL 60601-1474 - Phone
- (312) 527-1880
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of California, Geffen School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dekalb Eye Consultants LLC
Ronald S Weiss MD SC
Practice addresses (Care Compare)
1630 Gateway Dr
Sycamore, IL 60178-3182
Phone (815) 756-8571
4401 S Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400
Hospital & facility affiliations
- Macneal Hospital
- Northwestern Medicine Kishwaukee Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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 |
|---|---|---|---|---|
| I20120726000734 | IL | Practitioner - Ophthalmology | 8921290818 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Eye Consultants, LLC | Ophthalmology | Current |
Accepting new patients |
| Midwest Eye Center | Ophthalmology | Current |
Accepting new patients |
| Ronald S Weiss MD SC | Ophthalmology | Current |
Accepting new patients |
Locations
1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330
1 E Wacker Dr
Ste 3150
Chicago, IL 60601
Phone (312) 527-1880
2315 E 93rd St
Ste 400
Chicago, IL 60617
Phone (773) 374-1114
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
3825 Highland Ave
Ste 5C
Downers Grove, IL 60515
Phone (630) 964-2000
4401 S Harlem Ave
Stickney, IL 60402
Phone (708) 788-3400
1630 Gateway Dr
Sycamore, IL 60178
Phone (815) 756-5897
2240 Gateway Dr
Sycamore, IL 60178
Phone (815) 756-8571
Interoperability endpoints
- wendewessen.amde.p7@direct.hauserross.nextgenshare.com
- wendewessen.amde.p1@direct.hauserross.nextgenshare.com
- wendewessen.amde.p10@direct.hauserross.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036129646 | IL | Yes |
Addresses
Primary practice location
1 E Wacker Dr
Ste. #3150
Chicago, IL 60601-1474
Mailing address
1 E Wacker Dr
Ste. #3150
Chicago, IL 60601-1474
Phone (312) 527-1880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386837474 | Medicaid | IL |
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All providers in Chicago, IL · Ophthalmology 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 Apr 2, 2019. 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.