NORTH AND KOSTNER HEALTH CENTER
NPI 1720404494
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL
About North And Kostner Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH AND KOSTNER HEALTH CENTER (NPI 1720404494) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Cush Mvududu, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North And Kostner Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to North And Kostner Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 44Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2072216
North & Kostner Health Center · Chicago, ILFrequently 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 Near North Health Service Corporation's NPI number?
The NPI number for Near North Health Service Corporation is 1720404494. It was assigned to this organization in the NPPES registry on March 5, 2014. The provider is doing business as North And Kostner Health Center.
Where is Near North Health Service Corporation located?
Near North Health Service Corporation is located at 1520 N Kostner Ave, Chicago, IL 60651. The listed phone number is (312) 337-1073.
What is Near North Health Service Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Near North Health Service Corporation enrolled in Medicare?
Yes. Near North Health Service Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Near North Health Service Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 14 Medicare specialties reassign their Medicare billing to Near North Health Service Corporation. 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 Nurse Practitioner (16), Pediatric Medicine (5) and Dentist (4). Of these, 2 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Near North Health Service Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2072216) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Near North Health Service Corporation accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Near North Health Service Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Near North Health Service Corporation was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# North And Kostner Health Center · NPI 1720404494
Federally Qualified Health Center (FQHC) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since March 5, 2014.
## Identity
- **NPI:** 1720404494 (Entity type: Organization)
- **Enumerated:** March 5, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Near North Health Service Corporation
- **Organization subpart:** No
- **Authorized official:** Cush Mvududu, CONTROLLER
## Practice location
- **Address:** 1520 N KOSTNER AVE, Chicago, IL 60651-1610
- **Phone:** (312) 337-1073 · **Fax:** (312) 337-7616
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (16), Pediatric Medicine (5), Dentist (4); 2 practice at this address and 36 within 10 miles; [full list](https://npiprofile.com/npi/1720404494/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720404494) · Data from the CMS NPPES public registry.