Kidanu Birhanu (NPI# 1710073952, PAC ID# 0143317685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1710073952 |
| PAC ID by PECOS | 0143317685 |
| Professional Enrollment ID | I20071031000477 |
| Full Name | Kidanu Birhanu |
| Address |
2995 W 9th St Evergreen Park IL 60805-2409 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| 150090 | FRANCISCAN HEALTH DYER |
| 140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| Address | Phone | Organization |
|---|---|---|
| 24 Joliet St, Suite 302, Dyer, IN 46311-1705 | ||
| 2995 W 9th St, Evergreen Park, IL 60805-2409 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 5% |
| Street Address |
2995 W 9TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip | 60805-2409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satwant Kingra | Internal Medicine | 2733 W 87th St, Evergreen Park, IL 60805-1104 | |
| Carolyn Anne Paulius | Nurse Practitioner | Satwant Kingra Md Sc | 2733 W 87th St, Evergreen Park, IL 60805-1104 |
| Ejikeme O Obasi | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Chijoke H Onyenwenyi | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Lilla Wojciechowski | Nurse Practitioner | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Jeanette Mclaughlin | Nephrology | Southwest Nephrology Associates, S.c. | 9125 S Pulaski Rd, Evergreen Park, IL 60805-1441 |
| Gopal Madhav | Internal Medicine | 3900 W 95th St, Suite 6, Evergreen Park, IL 60805-1901 | |
| Mohamad A Abdessamad | Nephrology | Kidney and Hypertension Associates Ltd | 3913 W 95th St, Evergreen Park, IL 60805-1903 |
| Richard E Odonnell | Family Medicine | 3927 W 95th St, Evergreen Park, IL 60805-1903 | |
| Dragomir Jovanovic | Family Practice | P D Medical, S.c. | 3913 W 95th St, Evergreen Park, IL 60805-1903 |
| Find all physicians in zip 60805 | |||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EVERGREEN PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kidanu Birhanu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.