Individual provider Active NPI

Alowonle Mudashir Aweda

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1598543175
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209027679 Issued in IL
Practice address
1544 W Chicago Ave
Chicago, IL 60642-5236
Phone
(773) 232-2300
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209027679 IL Primary

Addresses

Primary practice location

1544 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

1544 W Chicago Ave
Chicago, IL 60642-5236
Phone (773) 232-2300

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
I20231129001555 IL Practitioner - Nurse Practitioner 4284082405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027679ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgecare, Inc. Nurse Practitioner CurrentSince Nov 15, 2023 Accepting new patients
Shifa Nephrology Associates LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

6316 N Lincoln Ave
#200
Chicago, IL 60659
Phone (773) 423-6400

1044 N Mozart St
Chicago, IL 60622
Phone (773) 292-8247

1945 W Wilson Ave
Ste 5110
Chicago, IL 60640
Phone (773) 878-6600

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1598543175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-232-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-232-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWEDA",
        "first_name": "ALOWONLE",
        "middle_name": "MUDASHIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209027679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.