Individual provider Active NPI

Felix Ngeh Fonge, NP

  • Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1386994812
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009800 Issued in IL
Practice address
15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Phone
(630) 371-0133
Fax
(630) 371-0138
NPI assigned
Sep 12, 2012
Last updated
Sep 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009800 IL Primary
Registered Nurse 163W00000X 041342995 IL

Addresses

Primary practice location

15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926

Mailing address

15 Salt Creek LN
Suite 111
Hinsdale, IL 60521-2926
Phone (630) 371-0133

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130118000145 IL Practitioner - Nurse Practitioner 1153574462 Reassigns benefits to 8 organizations
Practice locations: North Aurora, IL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians
Medico PLLCGroup PAC ID 9830508951, 7 clinicians
Rajiv Kandala M D S CGroup PAC ID 0345130977, 10 clinicians

Practice addresses (Care Compare)

2425 E 71St St
Chicago, IL 60649-2612
Phone (773) 721-5000

2600 S Michigan Ave
Suite 305
Chicago, IL 60616-2857
Phone (312) 371-7951

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041342995ILMDRegistered Nurse
209009800ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. CurrentSince Oct 9, 2012 Accepting new patients
Rajiv Kandala M D S C CurrentSince Jun 1, 2016 Accepting new patients
Medico PLLC CurrentSince Feb 1, 2022 Accepting new patients
J C Medical Group LTD CurrentSince Dec 1, 2014 Accepting new patients
NV Pacs 2 LLC CurrentSince Nov 2, 2022 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Oct 9, 2012 Accepting new patients
CS Pacs 3 Il, S.C. Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Aug 1, 2017 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Sep 26, 2024 Accepting new patients
Southside Primary Care Group SC PastSince Feb 11, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

2600 S Michigan Ave
Ste 305
Chicago, IL 60616
Phone (312) 326-4500

3201 S Wallace St
Chicago, IL 60616
Phone (312) 326-1615

6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

15 Salt Creek Ln
Ste 111
Hinsdale, IL 60521
Phone (630) 371-0133

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

1006 N Lowden Rd
Mount Carroll, IL 61053
Phone (815) 244-7715

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1386994812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SALT CREEK LN",
            "address_2": "SUITE 111",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212926",
            "telephone_number": "630-371-0133",
            "fax_number": "630-371-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGE",
        "first_name": "FELIX",
        "middle_name": "NGEH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009800",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041342995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.