Individual provider Active NPI

Endale T Mekonen, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1790701472
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Practice address
2315 E 93Rd St Ste 339
Chicago, IL 60617-3916
Phone
(773) 978-4330
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X IL Primary

Addresses

Primary practice location

2315 E 93Rd St Ste 339
Chicago, IL 60617-3916

Mailing address

4425 Madison St
Skokie, IL 60076-2627
Phone (708) 479-6522

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000528 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 2264513381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4425 Madison St
Skokie, IL 60076-2627

4425 W Madison
Skokie, IL 60076-2627
Phone (708) 323-7608

Hospital & facility affiliations

  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endale T Mekonen MD PC Infectious Disease CurrentSince Jul 1, 1996 Accepting new patients
Endale Mekonen MD PC Infectious Disease Past Accepting new patients

Locations

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

2315 E 93rd St
Ste 339
Chicago, IL 60617
Phone (773) 336-8589

Interoperability endpoints

  • Direct secure messaging: emekonen276006@direct.myadvocateaurora.org

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.

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790701472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 MADISON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762627",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E 93RD ST STE 339",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173916",
            "telephone_number": "773-978-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKONEN",
        "first_name": "ENDALE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.