NEAR NORTH HEALTH SERV KOMED
NPI 1346221553
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL
About Near North Health Serv Komed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEAR NORTH HEALTH SERV KOMED (NPI 1346221553) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since November 2005. The organization lists Berneice Mills-thomas, Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Near North Health Serv Komed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Near North Health Serv Komed, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Near North Health Service Corporation's NPI number?
The NPI number for Near North Health Service Corporation is 1346221553. It was assigned to this organization in the NPPES registry on November 7, 2005. The provider is doing business as Near North Health Serv Komed.
Where is Near North Health Service Corporation located?
Near North Health Service Corporation is located at 4259 S Berkeley Ave, Chicago, IL 60653. The listed phone number is (773) 268-7600.
What is Near North Health Service Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Near North Health Service Corporation enrolled in Medicare?
Yes. Near North Health Service Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Near North Health Service Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 14 Medicare specialties reassign their Medicare billing to Near North Health Service Corporation. 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 Nurse Practitioner (16), Pediatric Medicine (5) and Dentist (4). Of these, 3 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Near North Health Service Corporation accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Near North Health Service Corporation 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 Near North Health Service Corporation was last updated on July 21, 2021. 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.
# Near North Health Serv Komed · NPI 1346221553
Federally Qualified Health Center (FQHC) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since November 7, 2005.
## Identity
- **NPI:** 1346221553 (Entity type: Organization)
- **Enumerated:** November 7, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Near North Health Service Corporation
- **Organization subpart:** No
- **Authorized official:** Berneice Mills-Thomas, EXECUTIVE
## Practice location
- **Address:** 4259 S BERKELEY AVE, Chicago, IL 60653-3030
- **Phone:** (773) 268-7600 · **Fax:** (773) 268-9088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Pediatric Medicine (5), Dentist (4); 3 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1346221553/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1346221553) · Data from the CMS NPPES public registry.