Individual provider Active NPI

Maria Conchita M. Tuason, M.D.

  • Family Medicine Physician
  • Warrenville, IL
National Provider Identifier
1013919893
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036094363 Issued in IL
Practice address
28600 Bella Vista Pkwy Ste 2010a
Warrenville, IL 60555-1604
Phone
(312) 421-1016
Fax
(630) 634-0402
NPI assigned
Aug 11, 2005
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036094363 IL Primary

Addresses

Primary practice location

28600 Bella Vista Pkwy Ste 2010a
Warrenville, IL 60555-1604

Mailing address

315 Parkway Ave
Bloomingdale, IL 60108-3009
Phone (773) 418-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008002465 IL Order and Referring Only - Family PracticePractitioner - Family Practice 1850308586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036094363ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health, LLC CurrentSince Apr 30, 2023 Accepting new patients
Marathon Health, LLC CurrentSince Apr 30, 2023 Accepting new patients
Chicago Hamlin Family Practice Specialists LTD Family Medicine Past Accepting new patients
Nunilo G Rubio MD SC Past Accepting new patients

Locations

28600 Bella Vista Pkwy
Ste 2010A
Warrenville, IL 60555
Phone (312) 421-1016

Interoperability endpoints

  • Direct secure messaging: maria.tuason.1@14940.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1013919893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARKWAY AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601083009",
            "telephone_number": "773-418-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28600 BELLA VISTA PKWY STE 2010A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551604",
            "telephone_number": "312-421-1016",
            "fax_number": "630-634-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUASON",
        "first_name": "MARIA CONCHITA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.