Look up the most recent NPI and PECOS records

Paul Eapen

Surgery

Allopathic & Osteopathic Physicians

620 S Paulina St, Suite 403, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Paul Eapen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1114548922
Provider Type
Individual
Full Name
Eapen, Paul
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/4/2020
Last Updated
7/8/2022

Contact Information

Practice Location

620 S Paulina St, Suite 403, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Mailing Location

620 S Paulina St, Suite 403, Chicago, IL 60612

(312) 942-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125080857 Illinois

Paul Eapen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Ravasio, Alana

Dennis, Andrew Jay

Patel, Hreem Neel

Shah, Savan

Gutti, Subhash

Saadat, Ghulam Haider

Young, Mersaydes

Yoakum, Daniel

Marcus, Elizabeth Ann