CORDIAL MEDICAL CENTER, S.C.
NPI 1093771263
Family Medicine in Mundelein, IL
About Cordial Medical Center, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORDIAL MEDICAL CENTER, S.C. (NPI 1093771263) is a healthcare organization registered as a family medicine in Mundelein, Illinois and active in the NPI registry since April 2006. The organization lists Mikhail Khodarkovskiy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cordial Medical Center, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cordial Medical Center, S.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1067283
Cordial Medical Center · Mundelein, ILFrequently 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 Cordial Medical Center, S.C.'s NPI number?
The NPI number for Cordial Medical Center, S.C. is 1093771263. It was assigned to this organization in the NPPES registry on April 25, 2006.
Where is Cordial Medical Center, S.C. located?
Cordial Medical Center, S.C. is located at 333 E Il Route 83 Ste 105, Mundelein, IL 60060. The listed phone number is (847) 970-9922.
What is Cordial Medical Center, S.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cordial Medical Center, S.C. enrolled in Medicare?
Yes. Cordial Medical Center, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cordial Medical Center, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cordial Medical Center, S.C., in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cordial Medical Center, S.C. accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Cordial Medical Center, S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cordial Medical Center, S.C. was last updated on August 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Cordial Medical Center, S.c. · NPI 1093771263
Family Medicine organization in Mundelein, Illinois. Organization record, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1093771263 (Entity type: Organization)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mikhail Khodarkovskiy, PRESIDENT
## Practice location
- **Address:** 333 E IL ROUTE 83 STE 105, Mundelein, IL 60060-4278
- **Phone:** (847) 970-9922 · **Fax:** (847) 970-9955
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2023
- **Other identifiers:** Other 042-618285 (IL); Other 036-107538 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093771263) · Data from the CMS NPPES public registry.