Individual provider Active NPI

Cynthia M Yarshen, DO

  • Family Medicine Physician
  • Crest Hill, IL
National Provider Identifier
1912114497
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036119509 Issued in IL
Practice address
16151 Weber Rd
Suite 201
Crest Hill, IL 60403-0863
Phone
(815) 838-2888
Fax
(815) 838-0222
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036119509 IL Primary

Addresses

Primary practice location

16151 Weber Rd
Suite 201
Crest Hill, IL 60403-0863

Mailing address

16151 Weber Rd
Crest Hill, IL 60403-0863
Phone (815) 838-2888

Other identifiers 1

IdentifierTypeStateIssuer
1912114497MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cyarshen15406@direct.edward.org Direct
Direct Messaging Address cyarshen15406@direct.edward.org Direct

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
I20101020001327 IL Practitioner - Family Practice 1254524481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Beaumont Hospital Medial College - NLG, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036119509ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Aug 31, 2010 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Edward Health Ventures CurrentSince Jan 2, 2012 Accepting new patients
Edward Hospital CurrentSince Aug 31, 2010 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

16151 Weber Rd
Ste 201
Crest Hill, IL 60403
Phone (815) 838-2888

16151 Weber Rd
Crest Hill, IL 60403
Phone (815) 733-5490

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

27555 Diehl Rd
Warrenville, IL 60555
Phone (630) 646-3950

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1912114497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-838-2888",
            "fax_number": "815-838-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 WEBER RD",
            "address_2": "SUITE 201",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030863",
            "telephone_number": "815-838-2888",
            "fax_number": "815-838-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARSHEN",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912114497",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyarshen15406@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "16151 Weber Rd",
            "address_2": "Suite 201",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyarshen15406@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "16151 Weber Rd",
            "address_2": "Suite 201",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

Verify at the official NPI Registry.