ETHAN TYLER KLEPITSCH MD
NPI 1902389315
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Ethan Klepitsch's NPI number?

The NPI number for Ethan Klepitsch is 1902389315. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Ethan Klepitsch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Klepitsch was last updated on November 29, 2023. 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.

Active since September 11, 2018PECOS Enrolled

240 E HURON ST STE 1-200, CHICAGO, IL 60611(312) 503-7975 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 26, 2022, Sep 11, 2018 (2 updates tracked since 2018).

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About Ethan Tyler Klepitsch Md NPPES

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

ETHAN TYLER KLEPITSCH MD (NPI 1902389315) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902389315

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameETHAN TYLER KLEPITSCHCredential: MD

Location Address240 E HURON ST STE 1-200Chicago, IL 60611-2909

Mailing Address240 E Huron St Ste 1-200Chicago, IL 60611-2909

Phone(312) 503-7975

Sole ProprietorNo

Enumeration DateSeptember 11, 2018

Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration

NPPES CertifiedNovember 29, 2023

✔ NPI 1902389315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

240 E HURON ST STE 1-200, Chicago, IL 60611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Tyler Klepitsch 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 20

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

CLAYTON LYONS

Student in an Organized Health Care Education/Training Program