Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ERVIN DENHAM MD
NPI 1881658193
Surgery in Evanston, IL

Active since April 13, 2006PECOS Enrolled
93.08/100
CMS Quality Rating
1000 CENTRAL ST STE 717, EVANSTON, IL 60201(847) 570-1700(847) 503-4360 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Jan 22, 2021 (2 updates tracked since 2021).

About Ervin Denham Md NPPES

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

ERVIN DENHAM MD (NPI 1881658193) is an individual surgery provider in Evanston, Illinois, licensed in Illinois (036103113) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1881658193
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameERVIN DENHAMCredential: MD
Location Address1000 CENTRAL ST STE 717Evanston, IL 60201-1779
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040
Fax(847) 503-4360
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993
Enumeration DateApril 13, 2006
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1881658193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036103113
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1000 CENTRAL ST STE 717, Evanston, IL 60201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ervin Denham Md 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 ID1153302799
PECOS Enrollment IDI20040528000254
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.

Medicare Billing Reassignment

Medicare enrollment records show Ervin Denham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
42 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
1000 CENTRAL ST STE 717
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 717
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 717
EVANSTON, IL 60201
Obstetrics & Gynecology
1000 CENTRAL ST STE 717
EVANSTON, IL 60201

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 Ervin Denham's NPI number?

The NPI number for Ervin Denham is 1881658193. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Ervin Denham located?

Ervin Denham practices at 1000 Central St Ste 717, Evanston, IL 60201. The listed phone number is (847) 570-1700.

What is Ervin Denham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ervin Denham enrolled in Medicare?

Yes. Ervin Denham 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.

Which organization bills Medicare for Ervin Denham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ervin Denham reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Ervin Denham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ervin Denham accept?

Health plans from Ambetter Health and Oscar Health list Ervin Denham 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.

Is Ervin Denham affiliated with any hospitals?

According to CMS data, Ervin Denham is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Ervin Denham was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.