Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kidanu Birhanu, MD

Individual provider Internal Medicine Physician · NPI 1710073952

Kidanu Birhanu, MD is an Internal Medicine in Dyer, Indiana. Qualified in 1980, 46 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
46
Licensed in
IL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

24 Joliet St Ste 302
Dyer, IN 46311-1705
Phone: (219) 852-2518
Fax: (219) 864-2156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01066132 (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036072060 (IL)

Record details

NPI number1710073952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 30, 2016
Mailing address24 Joliet St, Ste 302, Dyer, IN 46311-1705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Dyer