Look up the most recent NPI and PECOS records

Samriddh Dhungel

Internal Medicine

Allopathic & Osteopathic Physicians

1901 W Harrison, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Samriddh Dhungel 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 2 days ago.

Profile Details

Provider ID
1952076903
Provider Type
Individual
Full Name
Dhungel, Samriddh
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/11/2021
Last Updated
8/11/2021

Contact Information

Practice Location

1901 W Harrison, Chicago, IL 60612

(312) 864-6000

Unlisted Fax

Mailing Location

1901 W Harrison, Chicago, IL 60612

(312) 864-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125077629 Illinois

Samriddh Dhungel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Krantz, Anne Judith

Shetty, Varun

Gianarakis, Michael Nicholas

Yong, Sylvia Seokhee

Earvolino, Jennifer

Shilbayeh, Abdul-Rahim Ziyad Abdul-Rahim

Kim, Junglee

Djordjevic, Dragan

Spalding, Molly

Shah, Syed