DR. KELECHI EMUCHAY (MD) – Internal Medicine Physician, NPI 1215687504

DR. KELECHI EMUCHAY (MD) is a healthcare provider. based in Romeoville, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036174285 (IL). The NPI Number for DR. KELECHI EMUCHAY (MD) is 1215687504

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELECHI EMUCHAY (MD)
NPI
1215687504
Phone
(312) 231-4372
Address
1950 SOUTHPORT CT
Enumeration Date
28 March 2022
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156398500
Graduation Year
2022 (4 years ago)
PAC ID
6002316759
Group Practice PAC ID
5496654006
Professional Enrollment ID
I20250826002632
Address ID
IL611111999LO9951XXING402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. KELECHI EMUCHAY (MD)

  • 1950 SOUTHPORT CT

    ROMEOVILLE, IL 604463728

    Phone: (312) 231-4372

    Mailing address matches the actual address.

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 $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Dexcom, Inc. ($38).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$38
Novo Nordisk Inc$23
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: 2025-08-26

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
I20250826002632IInternal 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.

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

Insurance plans in this area (ZIP 60446)

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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: 5496654006View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Family PracticeIL
Family Practice, Sports MedicineIL
Physician AssistantIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantWI

Reviews

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Frequently asked questions

How is DR. KELECHI EMUCHAY (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. KELECHI EMUCHAY (MD) with NPI 1215687504.
Does CMS list DR. KELECHI EMUCHAY (MD) as active?
Yes — DR. KELECHI EMUCHAY (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KELECHI EMUCHAY (MD)?
For research purposes, treat DR. KELECHI EMUCHAY (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KELECHI EMUCHAY (MD)?
DR. KELECHI EMUCHAY (MD)'s geographic hint is Romeoville, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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