Dr Kenneth U Ekechukwu, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Forest Park, Illinois. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is
1225 Harlem Ave, Forest Park, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 657-4540.
Dr Kenneth U Ekechukwu is licensed to practice in Illinois (license number 036-083256) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255331096.
Physician's Profile
Full Name | Dr Kenneth U Ekechukwu |
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Gender | Male |
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Speciality | Interventional Radiology |
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Experience | 40 Years |
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Location | 1225 Harlem Ave, Forest Park, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Kenneth U Ekechukwu graduated from medical school in 1984
NPI Data:
- NPI Number: 1255331096
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911043112
- Enrollment ID: I20091001000074
Medical Identifiers
Medical identifiers for Dr Kenneth U Ekechukwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255331096 | NPI | - | NPPES |
036-083256-4 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036-083256 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036-083256 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 036-083256 (Illinois) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth U Ekechukwu allows following entities to bill medicare on his behalf.
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
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Entity Name | Mount Sinai Community Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
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Entity Name | Loretto Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447280284 PECOS PAC ID: 5193725893 Enrollment ID: O20070103000114 |
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Entity Name | Medrad Clinics, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780815241 PECOS PAC ID: 8729124920 Enrollment ID: O20091001000088 |
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Entity Name | Lucien Diagnostic Imaging Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053351320 PECOS PAC ID: 6305741307 Enrollment ID: O20160902000975 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth U Ekechukwu is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kenneth U Ekechukwu, MD 1225 Harlem Ave, Forest Park, IL 60130-2407 Ph: (708) 657-4540 | Dr Kenneth U Ekechukwu, MD 1225 Harlem Ave, Forest Park, IL 60130-2407 Ph: (708) 657-4540 |
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