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KIDANU BIRHANU M.D.
NPI 1710073952
Internal Medicine in Dyer, IN

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
24 JOLIET ST, STE 302, DYER, IN 46311(219) 852-2518(219) 864-2156 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kidanu Birhanu M.d. NPPES

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

KIDANU BIRHANU M.D. (NPI 1710073952) is an individual internal medicine provider in Dyer, Indiana, licensed in Indiana (01066132) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1710073952
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKIDANU BIRHANUCredential: M.D.
Location Address24 JOLIET ST, STE 302Dyer, IN 46311-1705
Mailing Address24 Joliet St, Ste 302Dyer, IN 46311-1705 · (219) 852-2518 · Fax (219) 864-2156
Phone(219) 852-2518
Fax(219) 864-2156
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 30, 2016
✔ NPI 1710073952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01066132✔ Licensed in IL · 036072060
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24 JOLIET ST, Dyer, IN 46311
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Other Names 1

Professional Name (2)Kidanu Birhanu Md, Pc

Other Identifiers 7

Medicaid036072060IL
Medicare PINM10029340IN
Medicare ID-Type Unspecified205043IL
Other110248456IL · Medicare Railroad
Medicare UPINE47873IL
Medicare PINK45570IL
Other01633358IL · Bcbs Of Il

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kidanu Birhanu M.d. 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 ID143317685
PECOS Enrollment IDI20071031000477
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46311 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%761 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,737 patients4/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
29%38 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%173 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%764 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%166 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%762 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%764 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%764 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

FRED ANTHONY LEPORE JR.
Emergency Medicine
24 JOLIET ST
DYER, IN 46311
Lake County (708) 895-9385
FRANCISCAN PHYSICIANS HOSPITAL, LLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
24 JOLIET ST, SUITE 101
DYER, IN 46311
Lake County (219) 864-2059
GAIL LYNN NORTON-HALE LMFT,LCSW
Social Worker (Clinical)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
DR. BRIAN P JULA PSYD
Psychologist (Clinical)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
JEANNIE BORAM UR MD
Hospitalist
24 JOLIET ST
DYER, IN 46311
Lake County (219) 852-1524
CHRISTOPHER FRANCIS SHAHZAAD M.D.
Psychiatry & Neurology (Psychiatry)
24 JOLIET ST
DYER, IN 46311
Lake County (219) 322-5747
ESHWAR NAGRAJ MURTHY
Hospitalist
24 JOLIET ST
DYER, IN 46311
Lake County (219) 852-1524
KYSE OSSAMA ZORUB
Student in an Organized Health Care Education/Training Program
24 JOLIET ST
DYER, IN 46311
Lake County (708) 307-5098

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 Kidanu Birhanu's NPI number?

The NPI number for Kidanu Birhanu is 1710073952. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Kidanu Birhanu MD, PC.

Where is Kidanu Birhanu located?

Kidanu Birhanu practices at 24 Joliet St Ste 302, Dyer, IN 46311. The listed phone number is (219) 852-2518.

What is Kidanu Birhanu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kidanu Birhanu enrolled in Medicare?

Yes. Kidanu Birhanu 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.

Is Kidanu Birhanu affiliated with any hospitals?

According to CMS data, Kidanu Birhanu is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kidanu Birhanu was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.