Hesham Elmergawy, MD - Medicare Internal Medicine in Chicago, IL

Hesham Elmergawy, MD is a medicare enrolled "Internal Medicine - Rheumatology" physician in Chicago, Illinois. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Sound Physicians Of Illinois Llc and his current practice location is 1801 W Taylor St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 413-5569.

Hesham Elmergawy is licensed to practice in Illinois (license number 036.160907) 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 1811246176.

Contact Information

Hesham Elmergawy, MD
1801 W Taylor St,
Chicago, IL 60612-4795
(312) 413-5569
Not Available

Map and Direction




Physician's Profile

Full NameHesham Elmergawy
GenderMale
SpecialityInternal Medicine
Experience17 Years
Location1801 W Taylor St, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hesham Elmergawy graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1811246176
  • Provider Enumeration Date: 09/02/2012
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709196215
  • Enrollment ID: I20230505001195

Medical Identifiers

Medical identifiers for Hesham Elmergawy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811246176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 036.160907 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health Olympia Fields & Chicago HeightsOlympia fields, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Physicians Of Illinois Llc1557533734205

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. Hesham Elmergawy allows following entities to bill medicare on his behalf.
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272

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. Hesham Elmergawy 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 AddressPractice Location Address
Hesham Elmergawy, MD
1801 W Taylor St,
Chicago, IL 60612-4795

Ph: (312) 413-5569
Hesham Elmergawy, MD
1801 W Taylor St,
Chicago, IL 60612-4795

Ph: (312) 413-5569

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.