Midwest Dermpath LLC
NPI 1194591529ActiveOrganization· Pathology, Dermatopathology· Bartonville, IL
Pathology, Dermatopathology in Bartonville, Illinois, registered in NPPES in November 2023. The authorized official on file is Tesfu Hailu, MD, Lab Director. Medicare paid $15,979 for services to 113 patients in 2024.
Overview
| NPI | 1194591529 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2023 |
| Last updated in NPPES | Jan 31, 2024 |
| Certified by provider | Jan 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | — | — |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 289 across 5 procedure codes |
| Paid by Medicare | $15,979 |