Individual provider Active NPI

Yaw N Donkoh, M.D.

  • Anesthesiology Physician
  • Chicago Ridge, IL
National Provider Identifier
1790978492
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036120976 Issued in IL
Practice address
10258 Southwest Hwy
Chicago Ridge, IL 60415-1361
Phone
(708) 571-3669
Fax
(708) 630-0575
NPI assigned
Aug 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036120976 IL
Anesthesiology Physician 207L00000X 036120976 IL Primary

Addresses

Primary practice location

10258 Southwest Hwy
Chicago Ridge, IL 60415-1361

Mailing address

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4060

Other practice location 1

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-4684

Other practice location 2

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4060

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
I20111118000542 IL Practitioner - AnesthesiologyPractitioner - Pain Management 8224202742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation CurrentSince Mar 1, 2026 Accepting new patients
Midwest Anesthesiologists, LTD. Anesthesiology CurrentSince Oct 12, 2016 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Mar 1, 2026 Accepting new patients
Midwest Interventional Pain Solutions LLC Pain Medicine CurrentSince Sep 2, 2017 Accepting new patients
Midwest Interventional Pain Solutions LLC CurrentSince Apr 10, 2022 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

3407 Momentum Pl
Chicago, IL 60689

10258 Southwest Hwy
Ste B
Chicago Ridge, IL 60415
Phone (708) 571-3669

10258 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 571-3669

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

1206 E 9th St
Ste 270
Lockport, IL 60441

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

6311 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2258

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEEJCD/Endpoint/DEEJCD

Organizations & group practices 6

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 7

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": "1188000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1790978492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-208-4060",
            "fax_number": "630-208-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151361",
            "telephone_number": "708-571-3669",
            "fax_number": "708-630-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "708-684-4684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Randall Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344200",
            "country_code": "US",
            "telephone_number": "630-208-4060",
            "fax_number": "630-208-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONKOH",
        "first_name": "YAW",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-25",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036120976",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036120976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.