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EDWIN MOLINA
NPI 1164087433
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
600 S PAULINA ST STE 403, CHICAGO, IL 60612(312) 942-7100 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 1, 2021, May 2, 2019 (2 updates tracked since 2019).

About Edwin Molina NPPES

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

EDWIN MOLINA (NPI 1164087433) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164087433
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWIN MOLINA
Location Address600 S PAULINA ST STE 403Chicago, IL 60612-3806
Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone(312) 942-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 2, 2019
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1164087433 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.
600 S PAULINA ST STE 403, Chicago, IL 60612
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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

Edwin Molina 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 ID8426495607
PECOS Enrollment IDI20241223000472
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 Edwin Molina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,720 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279

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

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.

ROHAN PISHARODY MD
Psychiatry & Neurology (Neurology)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
SAMUEL JOHNSON DO
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-3134
KAYLA HALL MD
Emergency Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5495
RICODEM NAUDEL DESIR MD
Student in an Organized Health Care Education/Training Program
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
JANE EDMUNDS
Internal Medicine
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ALEXANDER PAUL SUN MD
Surgery
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
IAN KOLATA
Anesthesiology
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-7100
ELIZABETH EVANS M.D.
Internal Medicine (Cardiovascular Disease)
600 S PAULINA ST STE 403
CHICAGO, IL 60612
Cook County (312) 942-5000

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 Edwin Molina's NPI number?

The NPI number for Edwin Molina is 1164087433. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Edwin Molina located?

Edwin Molina practices at 600 S Paulina St Ste 403, Chicago, IL 60612. The listed phone number is (312) 942-7100.

What is Edwin Molina's specialty?

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

Is Edwin Molina enrolled in Medicare?

Yes. Edwin Molina 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 organization bills Medicare for Edwin Molina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Molina reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). 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 Edwin Molina'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 Edwin Molina was last updated on November 1, 2021. 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.