LARRY KEITH HIRSCH (MD) – Emergency Medicine Physician, NPI 1972572113

LARRY KEITH HIRSCH (MD) is a healthcare provider. based in Evanston, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. MD019885E (PA). The NPI Number for LARRY KEITH HIRSCH (MD) is 1972572113

Main info

Male
Sole Proprietor
51 Years Of Experience
Name
LARRY KEITH HIRSCH (MD)
NPI
1972572113
Phone
(847) 673-5645
Address
9201 DRAKE AVE
Enumeration Date
17 March 2006
Last Update Date
22 January 2015

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8154325841
Graduation Year
1975 (51 years ago)
PAC ID
8527044932
Group Practice PAC ID
1456781400
Professional Enrollment ID
I20040626000250
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LARRY KEITH HIRSCH (MD)

  • 9201, Drake Avenue, Skevanston, Skokie, Niles Township, Cook County, Illinois, 60203, United States

    APT. 102

    EVANSTON, IL 602031650

    Phone: (847) 673-5645

    Type: Mailing

  • Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States

    CONEMAUGH EMERGENCY PHYSICIANS GROUP

    JOHNSTOWN, PA 15905

    Phone: (814) 534-9600

    Type: Location

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: 2007-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040626000250IInternal MedicineILTBD
I20050401000116IEmergency MedicineTXTBD
I20070209000378IEmergency MedicineKYTBD

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 making1212$0
View full utilization report →

Insurance plans in this area (ZIP 60203)

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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: 1456781400View full group profile

Reviews

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Frequently asked questions

What federal number belongs to LARRY KEITH HIRSCH (MD)?
The federal identifier for LARRY KEITH HIRSCH (MD) is NPI 1972572113.
Is LARRY KEITH HIRSCH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is LARRY KEITH HIRSCH (MD)?
The page reflects Emergency Medicine Physician for LARRY KEITH HIRSCH (MD). Clinical services aligned with this taxonomy classification.
What location shows for LARRY KEITH HIRSCH (MD)?
We surface Evanston, Illinois for LARRY KEITH HIRSCH (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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