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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MINA KEROLOS MD
NPI 1013264936
Hospitalist in Evanston, IL

Active since August 09, 2012PECOS Enrolled
2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-1010(847) 733-5108 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Aug 25, 2026, May 6, 2025 and 3 more (6 updates tracked since 2020).

About Mina Kerolos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINA KEROLOS MD (NPI 1013264936) is an individual hospitalist provider in Evanston, Illinois, licensed in Illinois (036164050) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013264936
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMINA KEROLOSCredential: MD
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700 · (847) 982-3175 · Fax (847) 982-3394
Phone(847) 570-1010
Fax(847) 733-5108
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateSeptember 3, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1013264936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036164050
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036164050 (IL)
2650 RIDGE AVE, Evanston, IL 60201
Open in Google Maps ↗

Other Names 1

Former Name (1)Mina Gendy Pharm.d.

Secondary Practice Location 1

Location 17435 W Talcott AveChicago, IL 60631-3707 · Phone (773) 990-7741

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Kerolos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mina Kerolos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
DR. SADIE ANNE LAPONSIE M.D.
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Kerolos's NPI number?

The NPI number for Mina Kerolos is 1013264936. It was assigned to this individual provider in the NPPES registry on August 9, 2012. The provider is also known as Mina Gendy Pharm.D..

Where is Mina Kerolos located?

Mina Kerolos practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-1010.

What is Mina Kerolos's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mina Kerolos enrolled in Medicare?

Yes. Mina Kerolos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mina Kerolos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mina Kerolos reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mina Kerolos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mina Kerolos was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.