HERMON GEBRE KIHSHEN
NPI 1639868631
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 04, 2023PECOS Enrolled
5841 S MARYLAND AVE STE J141, CHICAGO, IL 60637(773) 702-8287 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, May 4, 2023 (2 updates tracked since 2023).

About Hermon Gebre Kihshen NPPES

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

HERMON GEBRE KIHSHEN (NPI 1639868631) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burr Ridge.

NPPES Registry Identity

NPI1639868631
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHERMON GEBRE KIHSHEN
Location Address5841 S MARYLAND AVE STE J141Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorNo
Enumeration DateMay 4, 2023
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1639868631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5841 S MARYLAND AVE STE J141, Chicago, IL 60637

Secondary Practice Location 1

Location 1180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · Phone (773) 702-8287

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hermon Gebre Kihshen 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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637

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 Hermon Kihshen's NPI number?

The NPI number for Hermon Kihshen is 1639868631. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Hermon Kihshen located?

Hermon Kihshen practices at 5841 S Maryland Ave Ste J141, Chicago, IL 60637. The listed phone number is (773) 702-8287.

What is Hermon Kihshen's specialty?

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

Is Hermon Kihshen enrolled in Medicare?

Yes. Hermon Kihshen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hermon Kihshen was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.