ERIK FOSSEN – Emergency Medicine Physician, NPI 1023472883

ERIK FOSSEN is a healthcare provider. based in Park ridge, Illinois. specializing in EMERGENCY MEDICINE. They hold a License No. 036147277 (IL). The NPI Number for ERIK FOSSEN is 1023472883

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ERIK FOSSEN
NPI
1023472883
Phone
(847) 723-5150
Address
1775 DEMPSTER ST
Enumeration Date
7 April 2016
Last Update Date
27 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773462211
Graduation Year
2016 (10 years ago)
PAC ID
7214223569
Group Practice PAC ID
2567412240
Professional Enrollment ID
I20190104000816
Address ID
IL600101919BA450XX22XX400

Contacts

Secure Messaging
efossen229970@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for ERIK FOSSEN

  • 1775 DEMPSTER ST

    PARK RIDGE, IL 600681143

    Phone: (847) 723-5150

    Fax: (847) 723-2083

    Type: Location

  • Park 1500 Lofts, 1500, West Monroe Street, Greektown, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60607, United States

    115

    CHICAGO, IL 606072413

    Phone:

    Type: Mailing

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190104000816IEmergency MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making492476$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only300284$0
99284Emergency department visit with moderate level of medical decision making217214$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only209201$0
99291Critical care, first 30-74 minutes9089$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567412240View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicinePA
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineIL

Reviews

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Frequently asked questions

How is ERIK FOSSEN identified in CMS data?
CMS-hosted NPPES data lists ERIK FOSSEN with NPI 1023472883.
Does the file indicate ERIK FOSSEN is practicing under active NPI?
Directory data currently reports ERIK FOSSEN as active.
What taxonomy line describes ERIK FOSSEN?
For research purposes, treat ERIK FOSSEN as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ERIK FOSSEN?
ERIK FOSSEN's geographic hint is Park Ridge, Illinois in our summary view.
Is the information about ERIK FOSSEN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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