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CHAD DOUGLAS NIX MD
NPI 1639923600
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 15, 2024PECOS Enrolled
5841 S MARYLAND AVE STE J141, CHICAGO, IL 60637(773) 702-1150 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2024, Jul 23, 2024, Apr 16, 2024 (3 updates tracked since 2024).

About Chad Douglas Nix Md NPPES

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

CHAD DOUGLAS NIX MD (NPI 1639923600) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (125.083995) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639923600
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHAD DOUGLAS NIXCredential: MD
Location Address5841 S MARYLAND AVE STE J141Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-1150
Sole ProprietorYes
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1639923600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125.083995
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 125.083995 (IL)
5841 S MARYLAND AVE STE J141, Chicago, IL 60637
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Secondary Practice Locations 2

Location 15721 S Maryland AveChicago, IL 60637-1425 · Phone (888) 824-0200
Location 22650 Ridge AveEvanston, IL 60201-1781 · Phone (847) 570-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chad Douglas Nix 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.

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.

HERMON GEBRE KIHSHEN
Student in an Organized Health Care Education/Training Program
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637
Cook County (773) 702-8287
JESSICA MASSAKO YAMADA
Internal Medicine
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637
Cook County (773) 702-6760
CHRISTOPHER JAMES DENNIS II
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE STE J141
CHICAGO, IL 60637
Cook County (773) 702-8287

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 Chad Nix's NPI number?

The NPI number for Chad Nix is 1639923600. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Chad Nix located?

Chad Nix practices at 5841 S Maryland Ave Ste J141, Chicago, IL 60637. The listed phone number is (773) 702-1150.

What is Chad Nix's specialty?

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

Is Chad Nix enrolled in Medicare?

Yes. Chad Nix is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Nix was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.