NPIMap

Individual provider Active NPI

Gabriela Trifan, M.D

  • Vascular Neurology Physician
  • Chicago, IL
National Provider Identifier
1023403565
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
036.146866 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Apr 1, 2015
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Neurology Physician 2084V0102X 036.146866 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

912 S Wood St # 174N
Chicago, IL 60612-4300
Phone (312) 413-9392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191203003143 IL Practitioner - Neurology 4587974696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 W Taylor St
Suite 2
Chicago, IL 60612-4795
Phone (312) 355-3060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.146866ILMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 25, 2022 Accepting new patients
Osf Healthcare System CurrentSince Mar 1, 2020 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Osf Healthcare System CurrentSince Mar 1, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2020 Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 5, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois Vascular Neurology CurrentSince Mar 25, 2022 Accepting new patients

Locations

1309 S Halsted St
Chicago, IL 60607
Phone (312) 413-3000

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1801 W Taylor St
#2
Chicago, IL 60612
Phone (312) 355-3060

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

912 S Wood St
#174N
Chicago, IL 60612
Phone (312) 996-6906

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

5660 W 95th St
Oak Lawn, IL 60453
Phone (708) 499-2273

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: gtrifan18223@uihealth.direct-ci.com

Organizations & group practices 10

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 2

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1023403565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST # 174N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300",
            "telephone_number": "312-413-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFAN",
        "first_name": "GABRIELA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IL",
            "license": "036.146866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.