Individual provider Active NPI

Kaoutar Tlemcani, M.D.

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1023238862
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036.127461 Issued in IL
Practice address
2361 Paysphere Cir
Chicago, IL 60674
Phone
(847) 872-4561
NPI assigned
Apr 26, 2007
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD 431 515 PA
Hematology & Oncology Physician 207RH0003X 036.127461 IL Primary

Addresses

Primary practice location

2361 Paysphere Cir
Chicago, IL 60674

Mailing address

2520 Elisha Ave
Zion, IL 60099
Phone (847) 872-4561

Other practice location 1

10350 Haligus Rd Ste 120
Huntley, IL 60142-9526
Phone (815) 356-2323

Other identifiers 1

IdentifierTypeStateIssuer
100182004MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110510000706 IL Practitioner - Medical OncologyPractitioner - Hematology 5890895809 Reassigns benefits to 1 organization
I20220104001757 WI Practitioner - Hematology/Oncology 5890895809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127461ILMDHematology & Oncology Physician
MD 431 515PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Illinois PLLC CurrentSince May 1, 2011 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Aug 1, 2022 Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1023238862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "847-872-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "847-872-4561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 Haligus Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429526",
            "country_code": "US",
            "telephone_number": "815-356-2323",
            "fax_number": "847-802-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TLEMCANI",
        "first_name": "KAOUTAR",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD 431 515",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036.127461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182004",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.