DORIS CHIZOMA IHEJIETO – Family Nurse Practitioner, NPI 1144984915

DORIS CHIZOMA IHEJIETO is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209023288 (IL). The NPI Number for DORIS CHIZOMA IHEJIETO is 1144984915

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DORIS CHIZOMA IHEJIETO
NPI
1144984915
Phone
(312) 371-5995
Address
2723 W BERWYN AVE APT 3
Enumeration Date
27 October 2021
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7735481170
Graduation Year
2020 (6 years ago)
PAC ID
2961927751
Group Practice PAC ID
9638165749
Professional Enrollment ID
I20250414003365
Address ID
IL606151600CH4829XAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for DORIS CHIZOMA IHEJIETO

  • 2723 W BERWYN AVE APT 3

    CHICAGO, IL 606253460

    Phone: (312) 371-5995

    Type: Mailing

  • 4259 S BERKELEY AVE

    CHICAGO, IL 606533030

    Phone: (773) 268-7600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Lilly USA, LLC ($25).

Total Amount

$67

General + Research + Ownership

Payments

3

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-14

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
I20250414003365INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60625)

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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: 9638165749View full group profile
NameSpecialtyState
Family PracticeCA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
Family PracticeWA
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

How do I look up DORIS CHIZOMA IHEJIETO by NPI?
Use NPI 1144984915 when you need to reference DORIS CHIZOMA IHEJIETO in forms, claims, or directories.
Is DORIS CHIZOMA IHEJIETO's NPI currently valid?
The extract we use shows DORIS CHIZOMA IHEJIETO as active.
What kind of provider is DORIS CHIZOMA IHEJIETO?
The page reflects Family Nurse Practitioner for DORIS CHIZOMA IHEJIETO. Clinical services aligned with this taxonomy classification.
Does DORIS CHIZOMA IHEJIETO practice in Illinois?
You will see Chicago, Illinois on file for DORIS CHIZOMA IHEJIETO alongside any extra practice locations.
How can I contact DORIS CHIZOMA IHEJIETO?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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