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MAGNUS E EDOSOMWAN MD
NPI 1215959176
Internal Medicine in Chicago, IL

Active since July 23, 2006PECOS Enrolled
1738 W 99TH ST, CHICAGO, IL 60643(773) 233-2408 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Magnus E Edosomwan Md NPPES

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

MAGNUS E EDOSOMWAN MD (NPI 1215959176) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036085865) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215959176
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAGNUS E EDOSOMWANCredential: MD
Location Address1738 W 99TH STChicago, IL 60643-2116
Mailing AddressPo Box 967Tinley Park, IL 60477-0967
Phone(773) 233-2408
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1215959176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036085865
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036-085865 (IL)
1738 W 99TH ST, Chicago, IL 60643
Open in Google Maps ↗

Other Identifiers 1

Medicaid036085865IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnus E Edosomwan Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Magnus Edosomwan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Humboldt Park Health
13 mi
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 154 clinicians in this Medicare group
NPI 1740417153 (773) 292-8200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60643 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUBILEE ADULT DAY CENTER INC
Clinic/Center (Adult Day Care)
1738 W 99TH ST
CHICAGO, IL 60643
Cook County (773) 233-2408

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 Magnus Edosomwan's NPI number?

The NPI number for Magnus Edosomwan is 1215959176. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Magnus Edosomwan located?

Magnus Edosomwan practices at 1738 W 99th St, Chicago, IL 60643. The listed phone number is (773) 233-2408.

What is Magnus Edosomwan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Magnus Edosomwan enrolled in Medicare?

Yes. Magnus Edosomwan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Magnus Edosomwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Magnus Edosomwan reassigns Medicare benefits to Humboldt Park Health (Chicago, IL). 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 Magnus Edosomwan'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 Magnus Edosomwan was last updated on December 9, 2020. 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.