Active NPI
Endale T Mekonen, M.D.
- Infectious Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endale T Mekonen MD PC | Infectious Disease | Current | 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
- 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.
-
- Infectious Disease Physician
- Skokie, IL
- NPI 1790822906
-
- Infectious Disease Physician
- Skokie, IL
- NPI 1538298500
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.