UCM MEDICAL GROUP SUB, LLC
NPI 1467442293
Family Medicine in Harvey, IL

Q: What is Ucm Medical Group Sub, LLC's NPI number?

The NPI number for Ucm Medical Group Sub, LLC is 1467442293. It was assigned to this organization in the NPPES registry on October 24, 2005.

Q: What is Ucm Medical Group Sub, LLC's specialty?

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

Active since October 24, 2005

71 W 156TH ST, 5TH FLOOR, HARVEY, IL 60426(708) 915-6353(708) 915-2706 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2025, Jul 2, 2025, Sep 24, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Ucm Medical Group Sub, Llc NPPES

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

UCM MEDICAL GROUP SUB, LLC (NPI 1467442293) is a healthcare organization registered as a family medicine in Harvey, Illinois and active in the NPI registry since October 2005. The organization lists Kurt Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467442293

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameUCM MEDICAL GROUP SUB, LLC

Location Address71 W 156TH ST, 5TH FLOORHarvey, IL 60426-4260

Mailing Address27702 Network PlChicago, IL 60673-1277 · (708) 862-7674 · Fax (708) 862-1781

Phone(708) 915-6353

Fax(708) 915-2706

Organization SubpartNo

Authorized OfficialKurt JohnsonExecutive Director · (708) 915-6364

Enumeration DateOctober 24, 2005

Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1467442293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036-048841 (IL)

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 036-108069 (IL)

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

71 W 156TH ST, Harvey, IL 60426

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Other Names 1

Doing Business AsUcm Medical Group Sub, Llc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

157

Medicare enrollment records show 157 clinicians reassign Medicare billing to Ucm Medical Group Sub, LLC, which bills Medicare for the services they deliver. Of these, 70 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Family Practice27

Anesthesiology24

Nurse Practitioner17

Internal Medicine16

Gastroenterology13

Hematology/Oncology8

Obstetrics/Gynecology7

Certified Registered Nurse Anesthetist (CRNA)6

16 other specialties39

Nearest to this location (20)

See all 157

Aishat Adebisi

Obstetrics/Gynecology

NPI 1619324605

31 W 155TH ST
Harvey, IL 60426

(708) 596-5177

✔ PECOS✔ Accepts Medicare0.2 mi

Jamie Horn, M.D.

Obstetrics/Gynecology

NPI 1790735595

31 W 155TH ST
Harvey, IL 60426

(708) 596-5177

✔ PECOS✔ Accepts Medicare0.2 mi

Shanice Robinson, MD

Obstetrics/Gynecology

NPI 1417419466

31 W 155TH ST
Harvey, IL 60426

(708) 596-5177

✔ PECOS✔ Accepts Medicare0.2 mi

Madad Ali, M.D.

Gastroenterology

NPI 1376564815

1 INGALLS DR
Harvey, IL 60426

(855) 826-3878

✔ PECOS✔ Accepts Medicare0.4 mi

Michelle Cunningham, M.D.

Pediatric Medicine

NPI 1437597846

1 INGALLS DR
Harvey, IL 60426

(855) 826-3878

✔ PECOS0.4 mi

Jody Allan Junia, MD

Hospitalist

NPI 1710065206

1 INGALLS DR
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Trina Sircar, DO

Anesthesiology

NPI 1275116345

1 INGALLS DR
Harvey, IL 60426

(888) 824-0200

✔ PECOS✔ Accepts Medicare0.4 mi

Zachary Wright, M.D.

Anesthesiology

NPI 1649697889

1 INGALLS DR DEPT OF
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Jeffrey Yeh, M.D.

Anesthesiology

NPI 1548478761

1 INGALLS DR DEPARTMENT OF ANESTHESIOLOGY
Harvey, IL 60426

(708) 915-5148

✔ PECOS✔ Accepts Medicare0.4 mi

Eyad Atieh, MD

Anesthesiology

NPI 1093457640

1 INGALLS DR
Harvey, IL 60426

(888) 824-0200

✔ PECOS✔ Accepts Medicare0.4 mi

Paul Bierman, MD

Gastroenterology

NPI 1144245234

1 INGALLS DR
Harvey, IL 60426

(888) 824-0200

✔ PECOS✔ Accepts Medicare0.4 mi

Cary Brown, MD

Anesthesiology

NPI 1407828437

1 INGALLS DR INGALLS MEMORIAL HOSPITAL
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Murali Krishna Kodali, M.D.

Hematology/Oncology

NPI 1942260468

1 INGALLS DR
Harvey, IL 60426

(888) 824-0200

✔ PECOS✔ Accepts Medicare0.4 mi

Robert Tumacder, MD

Anesthesiology

NPI 1467424473

INGALLS MEMORIAL HOSPITAL ONE INGALLS DRIVE
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Andrew Bruggeman, MD

Anesthesiology

NPI 1568434579

ONE INGALLS DRIVE INGALLS MEMORIAL HOSPITAL
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Balaji Malur, MD

Anesthesiology

NPI 1790757797

ONE INGALLS DR INGALLS MEMORIAL HOSPITAL
Harvey, IL 60426

(708) 333-2300

✔ PECOS✔ Accepts Medicare0.4 mi

Mary Conway, PT

Physical Therapist in Private Practice

NPI 1497795629

71 W 156TH ST SUITE 208
Harvey, IL 60426

(708) 331-3748

✔ Accepts Medicare0.4 mi

Howard Robinson

Physical Medicine and Rehabilitation

NPI 1467427690

71 W 156TH ST SUITE 208
Harvey, IL 60426

(708) 331-3748

✔ PECOS✔ Accepts Medicare0.4 mi

Kara Davis, MD

Internal Medicine

NPI 1417991449

401 E 162ND ST STE 207
South Holland, IL 60473

(708) 210-2001

✔ PECOS✔ Accepts Medicare2.4 mi

Sandra Afrifah, FNP

Nurse Practitioner

NPI 1356799282

17805 HALSTED ST
Homewood, IL 60430

(773) 834-6254

✔ PECOS✔ Accepts Medicare2.9 mi

See all 157 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 Ucm Medical Group Sub, LLC's NPI number?

The NPI number for Ucm Medical Group Sub, LLC is 1467442293. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Ucm Medical Group Sub, LLC located?

Ucm Medical Group Sub, LLC is located at 71 W 156th St 5th Floor, Harvey, IL 60426. The listed phone number is (708) 915-6353.

What is Ucm Medical Group Sub, LLC's specialty?

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

Is Ucm Medical Group Sub, LLC enrolled in Medicare?

Yes. Ucm Medical Group Sub, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ucm Medical Group Sub, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 24 Medicare specialties reassign their Medicare billing to Ucm Medical Group Sub, 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 Family Practice (27), Anesthesiology (24) and Nurse Practitioner (17). Of these, 70 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ucm Medical Group Sub, LLC was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.