DR. TEDDY ENOH MD
NPI 1114484185
Nurse Practitioner - Acute Care in Plano, IL

Active since February 26, 2019PECOS EnrolledAccepts Medicare Assignment
4127 OSBRON ST, PLANO, IL 60545(630) 340-0409 Get Directions Write a Review

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

About Dr. Teddy Enoh Md NPPES

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

DR. TEDDY ENOH MD (NPI 1114484185) is an individual acute care provider in Plano, Illinois, licensed in Illinois (209031044) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1114484185
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDR. TEDDY ENOHCredential: MD
Location Address4127 OSBRON STPlano, IL 60545-1498
Mailing Address4127 Osbron StPlano, IL 60545-1498 · (630) 340-0490
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 26, 2019
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1114484185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209031044
4127 OSBRON ST, Plano, IL 60545

Secondary Practice Location 1

Location 12500 W Reynolds StPontiac, IL 61764-9774 · Phone (815) 842-2828

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Teddy Enoh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315474350
PECOS Enrollment IDI20250102002380
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 Reassignments

2

Medicare enrollment records show Teddy Enoh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Home Health Aide
6916 CERMAK RD
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
8712 N OLCOTT AVE
Niles, IL 60714
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60545 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Teddy Enoh's NPI number?

The NPI number for Teddy Enoh is 1114484185. It was assigned to this individual provider in the NPPES registry on February 26, 2019.

Where is Teddy Enoh located?

Teddy Enoh practices at 4127 Osbron St, Plano, IL 60545. The listed phone number is (630) 340-0409.

What is Teddy Enoh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Teddy Enoh enrolled in Medicare?

Yes. Teddy Enoh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Teddy Enoh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teddy Enoh reassigns Medicare benefits to 2 organizations: Physicians To You Home Health Limited (Berwyn, IL) and Skyline Healthcare (Niles, IL). Each 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 Teddy Enoh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teddy Enoh accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Teddy Enoh 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.

Is Teddy Enoh affiliated with any hospitals?

According to CMS data, Teddy Enoh is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Teddy Enoh was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.