Cottage View Health Center – Federally Qualified Health Center (FQHC), NPI 1073594297

Cottage View Health Center is a healthcare provider. based in Chicago, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Cottage View Health Center is 1073594297

Main info

Organization
Name
Cottage View Health Center
NPI
1073594297
Phone
(312) 337-1073
Address
1276 N CLYBOURN AVE
Authorized Official
MRS. BERNEICE MILLS-THOMAS EXECUTIVE DIRECTOR
Enumeration Date
7 November 2005
Last Update Date
13 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Cottage View Health Center

  • Winfield Moody Health Center, 1276, North Clybourn Avenue, Cabrini-Green, Chicago River North, Chicago, Cook County, Illinois, 60610, United States

    CHICAGO, IL 606102089

    Phone: (312) 337-1073

    Fax: (312) 337-7616

    Type: Mailing

  • South Cottage Grove Avenue, Arcade Row, Pullman, Chicago, Hyde Park Township, Cook County, Illinois, 60628, United States

    CHICAGO, IL 606151600

    Phone: (773) 548-1170

    Fax: (773) 548-1404

    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: 2024-09-12

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
O20240912000154OFederally Qualified Health Center (Fqhc)ILTBD

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 60610)

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Reviews

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Frequently asked questions

What is Cottage View Health Center's NPI number?
Cottage View Health Center's NPI is 1073594297 — the number used across U.S. healthcare to identify this provider.
Is there an active status for Cottage View Health Center?
For scheduling context, Cottage View Health Center is shown as active in the registry.
What kind of doctor is Cottage View Health Center?
Cottage View Health Center is associated with Federally Qualified Health Center (FQHC) in the directory — Clinical services aligned with this taxonomy classification.
Is Cottage View Health Center associated with Chicago?
Public fields place Cottage View Health Center around Chicago, Illinois. Always confirm the exact site before visiting.
Does Cottage View Health Center accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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