DR. PHILIPOS KIDANE GEBREMEDHIN MD
NPI 1932691631
Surgery in Springfield, IL

Q: What is Philipos Gebremedhin's NPI number?

The NPI number for Philipos Gebremedhin is 1932691631. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Philipos Gebremedhin's specialty?

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

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment

747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7053 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Philipos Kidane Gebremedhin Md NPPES

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

DR. PHILIPOS KIDANE GEBREMEDHIN MD (NPI 1932691631) is an individual surgery provider in Springfield, Illinois, licensed in Illinois (036.174691) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1932691631

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. PHILIPOS KIDANE GEBREMEDHINCredential: MD

Location Address747 N RUTLEDGE ST FL 4Springfield, IL 62702-6700

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000

Phone(217) 545-8000

Fax(217) 545-7053

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 30, 2018

Last NPPES UpdateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1932691631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IL · 036.174691

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.

747 N RUTLEDGE ST FL 4, Springfield, IL 62702

Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 N 1st St Ste D308Springfield, IL 62702-3757 · Phone (217) 545-4401 · Fax (217) 545-1793

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

Dr. Philipos Kidane Gebremedhin 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 ID3779830740

PECOS Enrollment IDI20250818002892

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.

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

DR. MUKUL BHATTARAI MD.

Internal Medicine (Cardiovascular Disease)