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ERMYAS ASFHA KAHSAI
NPI 1053056218
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 02, 2022PECOS Enrolled
420 E SUPERIOR ST, CHICAGO, IL 60611(312) 503-8194 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ermyas Asfha Kahsai NPPES

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

ERMYAS ASFHA KAHSAI (NPI 1053056218) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053056218
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERMYAS ASFHA KAHSAI
Location Address420 E SUPERIOR STChicago, IL 60611-4494
Mailing Address18422 41st Pl WLynnwood, WA 98037-3713 · (206) 953-9010
Phone(312) 503-8194
Sole ProprietorYes
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1053056218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 E SUPERIOR ST, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ermyas Asfha Kahsai 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.

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.

OLIVIA CONG
Student in an Organized Health Care Education/Training Program
420 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 503-8194
DR. ERICA GHIGNONE M.D.
Psychiatry & Neurology (Psychiatry)
420 E SUPERIOR ST, RUBLOFF BUILDING 12TH FLOOR
CHICAGO, IL 60611
Cook County (312) 503-8194
SEBASTIAN ALEXANDER HOAK MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
420 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 227-4000
KATHRYN MOTON-OSPINO MD
Pediatrics
420 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 503-7975
ARRIX RYCE MD
Radiology (Vascular & Interventional Radiology)
420 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 503-7975
DR. RAVI RAJARAM M.D.
Surgery
420 E SUPERIOR ST, RUBLOFF 12TH FLOOR
CHICAGO, IL 60611
Cook County (312) 503-7975
MUKUND GANDE MD
Anesthesiology
420 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (609) 721-1940
RUBEN FRESCAS JR. M.D., M.P.H.
Family Medicine
420 E SUPERIOR ST, RUBLOFF BUILDING, 12TH FLOOR
CHICAGO, IL 60611
Cook County (312) 503-7975

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 Ermyas Kahsai's NPI number?

The NPI number for Ermyas Kahsai is 1053056218. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Ermyas Kahsai located?

Ermyas Kahsai practices at 420 E Superior St, Chicago, IL 60611. The listed phone number is (312) 503-8194.

What is Ermyas Kahsai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ermyas Kahsai enrolled in Medicare?

Yes. Ermyas Kahsai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ermyas Kahsai was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.