EWA V. HAMPSTON MD SC
NPI 1275766511
Family Medicine in Palos Heights, IL

Q: What is Ewa V. Hampston MD Sc's NPI number?

The NPI number for Ewa V. Hampston MD Sc is 1275766511. It was assigned to this organization in the NPPES registry on September 3, 2009.

Q: What is Ewa V. Hampston MD Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 03, 2009CLIA 14D2175138 · Waiver

12130 S HARLEM AVE, SUITE B, PALOS HEIGHTS, IL 60463(708) 448-5500(708) 448-5501 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Ewa V. Hampston Md Sc NPPES

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

EWA V. HAMPSTON MD SC (NPI 1275766511) is a healthcare organization registered as a family medicine in Palos Heights, Illinois and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Ewa V Hampston, Physician, as its authorized official.

NPPES Registry Identity

NPI1275766511

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEWA V. HAMPSTON MD SC

Location Address12130 S HARLEM AVE, SUITE BPalos Heights, IL 60463-1458

Mailing Address12130 S Harlem Ave, Suite BPalos Heights, IL 60463-1458 · (708) 448-5500 · Fax (708) 448-5501

Phone(708) 448-5500

Fax(708) 448-5501

Organization SubpartNo

Authorized OfficialEwa V HampstonPhysician · (708) 448-5500

Enumeration DateSeptember 3, 2009

✔ NPI 1275766511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 336071862

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12130 S HARLEM AVE, Palos Heights, IL 60463

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Ewa V. Hampston Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ewa V. Hampston MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ewa Hampston, M.D.

Family Practice

NPI 1770694200

12130 S HARLEM AVE SUITE B
Palos Heights, IL 60463

(708) 448-5500

✔ PECOS✔ Accepts MedicareSame address

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 of Waiver 14D2175138

Ewa Hampston M D · Palos Heights, IL

Active · expires Nov 17, 2027

CLIA Number14D2175138

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2025

Certificate Expiration DateNovember 17, 2027

Laboratory DirectorEwa V. Hampston M D

Laboratory Phone(708) 448-5500

Laboratory LocationEwa Hampston M D12130 S Harlem Ave - Ste B, Palos Heights, IL 60463

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Ewa V. Hampston MD Sc's NPI number?

The NPI number for Ewa V. Hampston MD Sc is 1275766511. It was assigned to this organization in the NPPES registry on September 3, 2009.

Where is Ewa V. Hampston MD Sc located?

Ewa V. Hampston MD Sc is located at 12130 S Harlem Ave Suite B, Palos Heights, IL 60463. The listed phone number is (708) 448-5500.

What is Ewa V. Hampston MD Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ewa V. Hampston MD Sc enrolled in Medicare?

Yes. Ewa V. Hampston MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ewa V. Hampston MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ewa V. Hampston MD Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ewa V. Hampston MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2175138) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ewa V. Hampston MD Sc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ewa V. Hampston MD Sc 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 Ewa V. Hampston MD Sc was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.