Individual provider Active NPI

Tanya M Powell, M.D.

  • Radiation Oncology Physician
  • Park Ridge, IL
National Provider Identifier
1043201072
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036111022 Issued in IL
Practice address
1700 Luther LN
Park Ridge, IL 60068-1270
Phone
(630) 205-6612
Fax
(847) 698-0601
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036111022 IL Primary

Addresses

Primary practice location

1700 Luther LN
Park Ridge, IL 60068-1270

Mailing address

700 Commerce Dr
Suite 500
Oak Brook, IL 60523-1546
Phone (847) 698-0600

Other identifiers 4

IdentifierTypeStateIssuer
778401OtherILMEDICARE PROVIDER NUMBER
036111022MedicaidIL
P00138138OtherILRAILROAD MEDICARE
558620OtherILMEDICARE PROVIDER NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tpowell236433@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20040813001213 IL Practitioner - Radiation Oncology 3375516776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Consultants, LTDGroup PAC ID 0345138509, 19 clinicians

Practice addresses (Care Compare)

1700 Luther LN
Park Ridge, IL 60068-1270
Phone (847) 723-8030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.69 of 100Reported as group
Quality
64.46
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111022ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Consultants, LTD Radiation Oncology CurrentSince Jul 1, 2004 Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients

Locations

27750 W State Route 22
Ste G50
Barrington, IL 60010
Phone (847) 842-0300

900 W Nelson St
Chicago, IL 60657
Phone (773) 296-7089

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

800 Biesterfield Rd
Ste 110
Elk Grove Vlg, IL 60007
Phone (847) 981-3576

1 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 286-5500

1555 N Barrington Rd
Ste 1400
Hoffman Estates, IL 60169
Phone (847) 755-3273

801 S Milwaukee Ave
#880
Libertyville, IL 60048
Phone (847) 990-5910

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

700 Commerce Dr
Ste 500
Oak Brook, IL 60523
Phone (847) 698-0600

1700 Luther Ln
Ste 1110
Park Ridge, IL 60068
Phone (630) 402-1463

1700 Luther Ln
Park Ridge, IL 60068
Phone (847) 268-8200

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1043201072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COMMERCE DR",
            "address_2": "SUITE 500",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231546",
            "telephone_number": "847-698-0600",
            "fax_number": "847-698-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LUTHER LN",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681270",
            "telephone_number": "630-205-6612",
            "fax_number": "847-698-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TANYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036111022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "778401",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111022",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00138138",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "558620",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpowell236433@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1700 Luther Ln",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1700 Luther Ln",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.