ENGLEWOOD HEALTH CENTER
NPI 1295855096
Clinic/Center - Primary Care in Chicago, IL

Active since March 29, 2007CLIA 14D1030579 · Microscopy
1135 W 69TH ST, CHICAGO, IL 60621(773) 483-5011 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2022, Feb 22, 2019 (2 updates tracked since 2019).

About Englewood Health Center NPPES

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

ENGLEWOOD HEALTH CENTER (NPI 1295855096) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through September 8, 2028 and lists Scott Andrle, Director Of Managed Care Operations, as its authorized official.

NPPES Registry Identity

NPI1295855096
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOOK COUNTY
Location Address1135 W 69TH STChicago, IL 60621-1147
Mailing Address1900 W Polk St Rm 220cChicago, IL 60612-3723 · (312) 864-4649
Organization SubpartYes
Authorized OfficialScott AndrleDirector Of Managed Care Operations · (312) 864-4649
Enumeration DateMarch 29, 2007
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1295855096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 0005272
1135 W 69TH ST, Chicago, IL 60621

Other Names 1

Doing Business AsEnglewood Health Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Englewood Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,043

Medicare enrollment records show 1,043 clinicians reassign Medicare billing to Englewood Health Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 643 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 58

Internal Medicine128
Nurse Practitioner86
Pediatric Medicine80
Emergency Medicine77
Family Practice55
Diagnostic Radiology47
Clinical Social Worker46
General Surgery35
50 other specialties489

Nearest to this location (20)

See all 1,043
Family Practice
NPI 1285946129
1135 W 69TH ST
Chicago, IL 60621
(773) 483-5011
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205067162
1135 W 69TH ST
Chicago, IL 60621
(773) 483-5011
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417341785
1135 W 69TH ST
Chicago, IL 60621
(773) 483-5011
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1114453974
5958 S MARSHFIELD AVE
Chicago, IL 60636
(773) 964-8501
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1801979000
11 E 75TH ST
Chicago, IL 60619
(866) 825-3227
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1336609056
8234 S ASHLAND AVE
Chicago, IL 60620
(773) 874-1400
✔ PECOS✔ Accepts Medicare1.8 mi
Emergency Medicine
NPI 1932121332
2701 W 68TH ST
Chicago, IL 60629
(773) 471-8000
✔ PECOS✔ Accepts Medicare1.9 mi
Diagnostic Radiology
NPI 1366585366
2701 W 68TH ST
Chicago, IL 60629
(773) 884-9000
✔ PECOS✔ Accepts Medicare1.9 mi
Neurology
NPI 1770937658
5841 S MARYLAND AVE ATTENTION M/C 2030
Chicago, IL 60637
(847) 312-6559
✔ PECOS✔ Accepts Medicare2.9 mi
Pathology
NPI 1336554799
5841 S MARYLAND AVE RM S-323
Chicago, IL 60637
(773) 834-7708
✔ PECOS✔ Accepts Medicare2.9 mi
Pulmonary Disease
NPI 1720202740
5841 S MARYLAND AVE
Chicago, IL 60637
(773) 834-5400
✔ PECOS✔ Accepts Medicare2.9 mi
Internal Medicine
NPI 1437136785
5841 S MARYLAND AVE MC 3051, ROOM S600 D
Chicago, IL 60637
(773) 702-5178
✔ PECOS✔ Accepts Medicare2.9 mi
Pediatric Medicine
NPI 1104865039
5841 S MARYLAND AVE
Chicago, IL 60637
(888) 824-0200
✔ PECOS2.9 mi
General Surgery
NPI 1437588555
5841 S MARYLAND AVE # MC-6040
Chicago, IL 60637
(513) 520-6019
✔ PECOS2.9 mi
Neurosurgery
NPI 1457702953
5841 S MARYLAND AVE MC3026
Chicago, IL 60637
(773) 702-2123
✔ PECOS✔ Accepts Medicare2.9 mi
Anesthesiology
NPI 1629191747
5841 S MARYLAND AVE
Chicago, IL 60637
(888) 824-0200
✔ PECOS✔ Accepts Medicare2.9 mi
Obstetrics/Gynecology
NPI 1770549321
500 E 51ST ST
Chicago, IL 60615
(312) 572-2676
✔ PECOS✔ Accepts Medicare3.1 mi
Critical Care (Intensivists)
NPI 1245336262
500 E 51ST ST
Chicago, IL 60615
(312) 572-1200
✔ PECOS✔ Accepts Medicare3.1 mi
Dentist
NPI 1477861680
9718 S HALSTED ST
Chicago, IL 60628
(773) 233-4100
✔ PECOS3.6 mi
Interventional Radiology
NPI 1255592655
2850 W 95TH ST STE 203
Evergreen Park, IL 60805
(708) 229-4050
✔ PECOS✔ Accepts Medicare3.9 mi
See all 1,043 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 14D1030579

Englewood Health Center · Chicago, IL
Active · expires Sep 8, 2028
CLIA Number14D1030579
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorCharles Edoigiawerie MD
Laboratory Phone(773) 483-6470
Laboratory LocationEnglewood Health Center1135 West 69th Street, Chicago, IL 60621
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Cook County's NPI number?

The NPI number for Cook County is 1295855096. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Englewood Health Center.

Where is Cook County located?

Cook County is located at 1135 W 69th St, Chicago, IL 60621. The listed phone number is (773) 483-5011.

What is Cook County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Cook County enrolled in Medicare?

Yes. Cook County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cook County?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,043 clinicians in 58 Medicare specialties reassign their Medicare billing to Cook County. 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 Internal Medicine (128), Nurse Practitioner (86) and Pediatric Medicine (80). Of these, 3 practice at this address and 643 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cook County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1030579) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook County was last updated on January 25, 2022. 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.