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HUMBOLDT PARK HEALTH EMERGENCY MEDICINE, LLC
NPI 1104592120
Emergency Medicine in Chicago, IL

Active since August 19, 2021
1044 N FRANCISCO AVE, CHICAGO, IL 60622(773) 292-8200 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Humboldt Park Health Emergency Medicine, Llc NPPES

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

HUMBOLDT PARK HEALTH EMERGENCY MEDICINE, LLC (NPI 1104592120) is a healthcare organization registered as an emergency medicine in Chicago, Illinois and active in the NPI registry since August 2021. The organization lists James Porter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104592120
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameHUMBOLDT PARK HEALTH EMERGENCY MEDICINE, LLC
Location Address1044 N FRANCISCO AVEChicago, IL 60622-2743
Mailing Address5665 New Northside Dr Ste 320Atlanta, GA 30328-5834 · (770) 874-5400
Phone(773) 292-8200
Organization SubpartNo
Authorized OfficialJames PorterCfo · (773) 772-3035
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1104592120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1044 N FRANCISCO AVE, Chicago, IL 60622
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Humboldt Park Health Emergency Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Humboldt Park Health Emergency Medicine, LLC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Emergency Medicine16
Nurse Practitioner5

Nearest to this location (20)

See all 21
Asma Khatoon, M.D.
Emergency Medicine
NPI 1437299815
2875 W 19TH ST
Chicago, IL 60623
(773) 484-4300
✔ PECOS✔ Accepts Medicare3.1 mi
Claudia Arteaga
Nurse Practitioner
NPI 1407623796
2001 S CALIFORNIA AVE
Chicago, IL 60608
(773) 584-6200
✔ PECOS✔ Accepts Medicare3.2 mi
Syed Bahadur
Nurse Practitioner
NPI 1760364343
839 S WELLS ST APT 202
Chicago, IL 60607
(773) 807-2584
✔ PECOS✔ Accepts Medicare3.9 mi
Andrew Williams, M.D.
Emergency Medicine
NPI 1275988156
3 ERIE CT
Oak Park, IL 60302
(708) 763-6747
✔ PECOS✔ Accepts Medicare4.5 mi
Akhter Patel
Nurse Practitioner
NPI 1639737851
5645 W ADDISON ST
Chicago, IL 60634
(773) 794-7601
✔ PECOS✔ Accepts Medicare4.7 mi
Vivian Diep, MD
Emergency Medicine
NPI 1093344913
4646 N MARINE DR
Chicago, IL 60640
(773) 878-8700
✔ PECOS✔ Accepts Medicare5.3 mi
Amit Gupta, M.D.
Emergency Medicine
NPI 1245423573
2160 S 1ST AVE
Maywood, IL 60153
(708) 216-9000
✔ PECOS✔ Accepts Medicare7.5 mi
Gabriel Stahl, MD
Emergency Medicine
NPI 1497246953
2650 RIDGE AVE
Evanston, IL 60201
(847) 570-2114
✔ PECOS✔ Accepts Medicare11 mi
Daniel Howard, M.D.
Emergency Medicine
NPI 1396193322
2800 95TH ST EMERGENCY DEPARTMENT
Evergreen Park, IL 60805
(708) 422-6200
✔ PECOS12 mi
Salman Mamdani, DO
Emergency Medicine
NPI 1568620276
2800 W 95TH ST
Evergreen Park, IL 60805
(708) 229-5600
✔ PECOS✔ Accepts Medicare12 mi
Uzma Ahmad, MD
Emergency Medicine
NPI 1902398019
4440 W 95TH ST
Oak Lawn, IL 60453
(708) 684-5375
✔ PECOS✔ Accepts Medicare13 mi
Tam Thai, D.O.
Emergency Medicine
NPI 1972503563
12251 S 80TH AVE
Palos Heights, IL 60463
(708) 923-5800
✔ PECOS✔ Accepts Medicare17 mi
Nadija Rieser, MD
Emergency Medicine
NPI 1346878923
17800 KEDZIE AVE
Hazel Crest, IL 60429
(708) 213-4200
✔ PECOS✔ Accepts Medicare23 mi
Ewa Blachowicz, NP,APN
Nurse Practitioner
NPI 1861514408
16632 S 107TH CT
Orland Park, IL 60467
(708) 349-6350
✔ PECOS✔ Accepts Medicare24 mi
Qi Zhang, M.D.
Emergency Medicine
NPI 1538586086
20201 CRAWFORD AVE
Olympia Fields, IL 60461
(708) 747-4000
✔ PECOS✔ Accepts Medicare26 mi
Collin Greer, MD
Emergency Medicine
NPI 1730763657
20201 CRAWFORD AVE
Olympia Fields, IL 60461
(708) 747-4000
✔ PECOS✔ Accepts Medicare26 mi
Afshan Ahmed, D.O.
Emergency Medicine
NPI 1063737997
20201 CRAWFORD AVE
Olympia Fields, IL 60461
(708) 747-4000
✔ PECOS✔ Accepts Medicare26 mi
Bao Dang, M.D.
Emergency Medicine
NPI 1740502509
1111 N RONALD REAGAN PKWY
Avon, IN 46123
(317) 217-3000
✔ PECOS✔ Accepts Medicare163 mi
Neil Malhotra, MD
Emergency Medicine
NPI 1881822591
1000 HOUGHTON AVE
Saginaw, MI 48602
(989) 583-6817
✔ PECOS✔ Accepts Medicare218 mi
Keith Bowman, MSN, RN, FNP-BC
Nurse Practitioner
NPI 1669003273
401 SW 1ST AVE APT 3307
Fort Lauderdale, FL 33301
(248) 894-1999
✔ PECOS✔ Accepts Medicare1,170 mi
See all 21 clinicians

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

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 Humboldt Park Health Emergency Medicine, LLC's NPI number?

The NPI number for Humboldt Park Health Emergency Medicine, LLC is 1104592120. It was assigned to this organization in the NPPES registry on August 19, 2021.

Where is Humboldt Park Health Emergency Medicine, LLC located?

Humboldt Park Health Emergency Medicine, LLC is located at 1044 N Francisco Ave, Chicago, IL 60622. The listed phone number is (773) 292-8200.

What is Humboldt Park Health Emergency Medicine, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Humboldt Park Health Emergency Medicine, LLC enrolled in Medicare?

Yes. Humboldt Park Health Emergency Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Humboldt Park Health Emergency Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 2 Medicare specialties reassign their Medicare billing to Humboldt Park Health Emergency Medicine, LLC. 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. The largest specialties are Emergency Medicine (16) and Nurse Practitioner (5). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Humboldt Park Health Emergency Medicine, LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.