OrganizationActive
Kidanu Birhanu MD Sc
NPI 1619288339 · Clinic/Center · Dyer, IN
Kidanu Birhanu MD Sc is a Clinic/Center organization in Dyer, IN (NPI 1619288339).
Provider details
- NPI number
- 1619288339
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kidanu Birhanu, Owner(708) 334-2352
- License
- 01066132A (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Joliet St
Suite 302
Dyer, IN 46311-1705
Phone: (219) 852-2518
Fax: (219) 864-2156
Street-level locationGet directions
Mailing address
Po Box 394
Dyer, IN 46311-0394
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2010-06-28
Frequently asked questions
- What is Kidanu Birhanu MD Sc's NPI number?
- Kidanu Birhanu MD Sc's National Provider Identifier (NPI) is 1619288339, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidanu Birhanu MD Sc?
- Kidanu Birhanu MD Sc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kidanu Birhanu MD Sc located?
- Kidanu Birhanu MD Sc's practice location on file with NPPES is 24 Joliet St, Dyer, IN 46311-1705.
- What is Kidanu Birhanu MD Sc's phone number?
- The practice phone number listed in the NPPES registry for Kidanu Birhanu MD Sc is (219) 852-2518.
- Who is the authorized official for Kidanu Birhanu MD Sc?
- The authorized official listed on Kidanu Birhanu MD Sc's NPPES record is Kidanu Birhanu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidanu Birhanu MD Sc's NPI active?
- Yes — Kidanu Birhanu MD Sc's NPI (1619288339) is active in the NPPES registry as of the last update on 2010-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.