Individual provider Active NPI

Makambo Tshionyi, M.D.

  • Neurology Physician
  • Hinsdale, IL
National Provider Identifier
1659782985
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-179580 Issued in IL
Practice address
908 N Elm St Ste 110
Hinsdale, IL 60521-2600
Phone
(630) 986-8770
Fax
(630) 986-8776
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD185357 OR
Neurology Physician 2084N0400X MD61230609 WA
Neurology Physician 2084N0400X 036-179580 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 110
Hinsdale, IL 60521-2600

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

12728 19th Ave SE Ste 300
Everett, WA 98208-6526
Phone (425) 252-1116

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtshionyi371244@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211230001386 WA Practitioner - Neurology 7719277532 Reassigns benefits to 1 organization
I20260504006243 IL Practitioner - Neurology 7719277532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

908 N Elm St
Suite 110
Hinsdale, IL 60521-2600
Phone (630) 986-8770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-179580ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Jan 1, 2022 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jan 1, 2022 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Dec 19, 2023 Accepting new patients

Locations

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

12728 19th Ave SE
Ste 300
Everett, WA 98208
Phone (425) 252-1116

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

Interoperability endpoints

  • Direct secure messaging: mtshiony@yourcarecommunity.org
  • Direct secure messaging: mtshionyi371244@dulyhealthandcare.direct-ci.com

Organizations & group practices 5

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1659782985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212600",
            "telephone_number": "630-986-8770",
            "fax_number": "630-986-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12728 19th Ave SE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086526",
            "country_code": "US",
            "telephone_number": "425-252-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSHIONYI",
        "first_name": "MAKAMBO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD185357",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61230609",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-179580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtshionyi371244@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "908 N Elm St Ste 110",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605212600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.