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ERDAN KAYUPOV
NPI 1427403658
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 25, 2016PECOS EnrolledAccepts Medicare Assignment
1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Erdan Kayupov NPPES

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

ERDAN KAYUPOV (NPI 1427403658) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2016).

NPPES Registry Identity

NPI1427403658
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERDAN KAYUPOV
Location Address1740 W TAYLOR STChicago, IL 60612-7232
Mailing Address5616 Fawn CtTroy, MI 48098-2549 · (248) 635-6387
Phone(866) 600-2273
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2016
Enumeration DateApril 25, 2016
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1427403658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1740 W TAYLOR ST, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erdan Kayupov is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931496791
PECOS Enrollment IDI20210730002320
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 Reassignments

3

Medicare enrollment records show Erdan Kayupov reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
1,794 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
University Of California San Francisco
1,859 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
1,859 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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

Other Providers at the Same Location NPPES 20

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

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 Erdan Kayupov's NPI number?

The NPI number for Erdan Kayupov is 1427403658. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Erdan Kayupov located?

Erdan Kayupov practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.

What is Erdan Kayupov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Erdan Kayupov enrolled in Medicare?

Yes. Erdan Kayupov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Erdan Kayupov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erdan Kayupov reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Stockton, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Erdan Kayupov'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 Erdan Kayupov was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.