DR. ETHAN HOMEDI MD
NPI 1629657606
Hospitalist in Park Ridge, IL

Q: What is Ethan Homedi's NPI number?

The NPI number for Ethan Homedi is 1629657606. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Q: What is Ethan Homedi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Homedi was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 06, 2021PECOS Enrolled

1675 DEMPSTER ST FL 1, PARK RIDGE, IL 60068(847) 318-9300 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jun 23, 2021, Jun 1, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Ethan Homedi Md NPPES

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

DR. ETHAN HOMEDI MD (NPI 1629657606) is an individual hospitalist provider in Park Ridge, Illinois, licensed in Illinois (036.169335) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629657606

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. ETHAN HOMEDICredential: MD

Location Address1675 DEMPSTER ST FL 1Park Ridge, IL 60068-1110

Mailing Address29673 Network PlChicago, IL 60673-1296

Phone(847) 318-9300

Sole ProprietorNo

Enumeration DateApril 6, 2021

Last NPPES UpdateAugust 27, 20244 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1629657606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036.169335

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatricsTaxonomy 208000000X · License 036.169335 (IL)

1675 DEMPSTER ST FL 1, Park Ridge, IL 60068

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Homedi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAXIE I MCDONOUGH MD

Hospitalist