Ehiwe Akhigbe, MD
Individual provider Active NPI Family Medicine Physician · Chicago, IL
NPI 1972123503 · NPPES record last updated Apr 23, 2020
Key facts
- NPI
- 1972123503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125075739 (IL)
- Practice address
- 1901 W Harrison St
Chicago, IL 60612-3714 - Phone
- (312) 864-6000
- NPI assigned
- Apr 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Chicago
Practice addresses (Care Compare)
17805 Halsted St
Homewood, IL 60430-2011
Phone (773) 702-1000
355 E Grand Ave
Chicago, IL 60611-5389
Phone (773) 702-1000
47 W Polk St
Suite G1
Chicago, IL 60605-2083
Phone (773) 702-1000
Hospital & facility affiliations
- The University of Chicago Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102000425 | IL | Practitioner - Family Practice | 1557776119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125075739 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Current |
Accepting new patients | |
| University of Chicago | Current |
Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
47 W Polk St
Ste G1
Chicago, IL 60605
Phone (312) 567-6700
17805 Halsted St
Homewood, IL 60430
Phone (708) 333-2300
Interoperability endpoints
- eakhigbe278222@uchospital.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125075739 | IL | Yes |
Addresses
Primary practice location
1901 W Harrison St
Chicago, IL 60612-3714
Mailing address
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000
Other providers in Chicago, IL
- Rachel Akewushola
- Amir Ryan Akhavan
- Sina Akhavan
- Clara Akhigbe
- Cynthia Salazar Akhigbe
- Akhil V Jagadeesh P.C.
- Luai Akhras
- Akhtar MD SC
- Akhtar Parvaiz MD
- Lisa Nowoslawski Akhtar
All providers in Chicago, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.