Rediet Kokebie, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036116844 Issued in IL

Practice address

2525 S Michigan Ave
Family Health Center
Chicago, IL 60616-2333

Phone

(312) 567-2000

Fax

(312) 567-6156

NPI assigned

Oct 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Internal MedicineAlso: Rheumatology

Education

Medical College of Wisconsin, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Presence Healthcare Services

  dba Presence Medical Group

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1932216819
  Medicare reassignment Care Compare group NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1043748338
  NPD
• Resurrection Services

  dba Viking Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1861785123
  NPD
• Presence Healthcare Services

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1922115864
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1861728677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "B-522",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2000",
            "fax_number": "312-567-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "FAMILY HEALTH CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2000",
            "fax_number": "312-567-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKEBIE",
        "first_name": "REDIET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036116844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBCIL",
            "identifier": "01621679",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "950150",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116844",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCS",
            "identifier": "336085525",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharad Koirala, MBBS
• Mathilda Koivogui, RN
• Branka Kojic, MA, LCPC
• Kojo Ngoro Counseling and Consulting PLLC
• Kevin Kok, RD
• Dina Kokh, M.D.
• Alexandra Yana Kokhan, PT,DPT
• Konstantina Kokinis, PHARM D.
• Deima K Koko
• Soberekon Melvin Koko, M.D.

• Rheumatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.

Verify at the official NPI Registry.