CHISALU T NCHEKWUBE (M.D.) – Family Medicine Physician, NPI 1902224199

CHISALU T NCHEKWUBE (M.D.) is a healthcare provider. based in Hometown, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036-149564 (IL). The NPI Number for CHISALU T NCHEKWUBE (M.D.) is 1902224199

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CHISALU T NCHEKWUBE (M.D.)
NPI
1902224199
Phone
(708) 422-5700
Address
4140 SOUTHWEST HWY
Enumeration Date
3 April 2014
Last Update Date
12 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8478027090
Graduation Year
2014 (12 years ago)
PAC ID
1052601606
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20190619000311
Address ID
IL601429582HU10370RDXX306
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

Provider Addresses for CHISALU T NCHEKWUBE (M.D.)

  • 4140 SOUTHWEST HWY

    HOMETOWN, IL 604561135

    Phone: (708) 422-5700

    Fax: (708) 422-9535

    Type: Mailing

  • 18127 WILLIAM ST

    LANSING, IL 604383921

    Phone: (708) 889-6621

    Fax: (708) 889-6675

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($91).

Total Amount

$91

General + Research + Ownership

Payments

1

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$91
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: 2019-06-19

PECOS data refreshed: 2026-06-15

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
I20190619000311IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes152100$0
99213Established patient office or other outpatient visit, 20-29 minutes9171$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
99204New patient office or other outpatient visit, 45-59 minutes5050$0
G0008Administration of influenza virus vaccine4242$0
View full utilization report →

Insurance plans in this area (ZIP 60456)

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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: 5890696231View full group profile
NameSpecialtyState
Vascular SurgeryIL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
-IL
Physician AssistantIL
Nurse PractitionerIL
Orthopedic SurgeryIL
D E R M A T O L O G YIL
Hand SurgeryPA

Reviews

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Frequently asked questions

Can I verify CHISALU T NCHEKWUBE (M.D.) with an NPI only?
You can start verification with NPI 1902224199 for CHISALU T NCHEKWUBE (M.D.), then check state licensing separately.
Is CHISALU T NCHEKWUBE (M.D.) still practicing?
CHISALU T NCHEKWUBE (M.D.) is currently listed as active in the public NPI registry.
What is CHISALU T NCHEKWUBE (M.D.) best known for clinically?
Directory data describes CHISALU T NCHEKWUBE (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is CHISALU T NCHEKWUBE (M.D.) based?
CHISALU T NCHEKWUBE (M.D.) is tied to Hometown, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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