LOYOLA MEDICAL GROUP LLC
NPI 1376041954
General Practice in Berwyn, IL

Active since January 29, 2018
3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-3125 Get Directions Write a Review

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

Record update history: Nov 16, 2020, Feb 2, 2019 (2 updates tracked since 2019).

About Loyola Medical Group Llc NPPES

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

LOYOLA MEDICAL GROUP LLC (NPI 1376041954) is a healthcare organization registered as a general practice in Berwyn, Illinois and active in the NPI registry since January 2018. The organization lists Adenrele Adekunbi Kolawole, Director Billing Operations, as its authorized official.

NPPES Registry Identity

NPI1376041954
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLOYOLA MEDICAL GROUP LLC
Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429
Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · Fax (708) 216-8059
Organization SubpartNo
Authorized OfficialAdenrele Adekunbi KolawoleDirector Billing Operations · (708) 216-3743
Enumeration DateJanuary 29, 2018
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1376041954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3249 OAK PARK AVE, Berwyn, IL 60402

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Loyola Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

211

Medicare enrollment records show 211 clinicians reassign Medicare billing to Loyola Medical Group LLC, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 162 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Internal Medicine25
Obstetrics/Gynecology24
Family Practice23
Certified Registered Nurse Anesthetist (CRNA)14
Urology13
Hospitalist11
Pediatric Medicine10
Anesthesiology9
22 other specialties82

Nearest to this location (20)

See all 211
Internal Medicine
NPI 1508120981
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1518606227
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2000
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1225423791
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2226
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1063971844
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114508272
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2226
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1477782597
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1306878558
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-0192
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1407807746
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-3601
✔ PECOSSame address
Family Practice
NPI 1154958627
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609383496
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 216-9000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1235382011
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-0437
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104315571
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417624206
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2226
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1952690182
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-5864
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1245816792
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2226
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1477132363
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-2000
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1841759735
3249 OAK PARK AVE
Berwyn, IL 60402
(708) 783-9100
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1578515839
3249 S OAK PARK AVE MACNEAL HOSPITAL
Berwyn, IL 60402
(708) 783-3004
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1366573495
3231 EUCLID AVE STE 407
Berwyn, IL 60402
(708) 783-7428
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1467689281
3231 EUCLID AVE SUITE 403
Berwyn, IL 60402
(708) 783-0700
✔ PECOS✔ Accepts MedicareSame address
See all 211 clinicians

Source: 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 Loyola Medical Group LLC's NPI number?

The NPI number for Loyola Medical Group LLC is 1376041954. It was assigned to this organization in the NPPES registry on January 29, 2018.

Where is Loyola Medical Group LLC located?

Loyola Medical Group LLC is located at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3125.

What is Loyola Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Loyola Medical Group LLC enrolled in Medicare?

Yes. Loyola Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Loyola Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 211 clinicians in 30 Medicare specialties reassign their Medicare billing to Loyola Medical Group LLC. 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 (25), Obstetrics/Gynecology (24) and Family Practice (23). Of these, 25 practice at this address and 162 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Loyola Medical Group LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Loyola Medical Group LLC 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 Loyola Medical Group LLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.