Active NPI
Maria Magdalene Tsoukas, M.D., PH.D.
- Dermatology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036114916
- Practice address
- 1801 W Taylor St Ste 3E
Chicago, IL 60612-4795 - Phone
- (312) 413-7448
- Fax
- (312) 996-1188
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 223293 | MA | |
| Dermatology Physician | 207N00000X | 036114916 | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St Ste 3E
Chicago, IL 60612-4795
Mailing address
1847 N Dayton St
Chicago, IL 60614-5002
Phone (312) 479-8649
Other practice location 1
5841 S Maryland Ave
Univ of Chicago, Dermatology, MC 5067
Chicago, IL 60637-1447
Phone (773) 702-6559
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 W Taylor St
3F
Chicago, IL 60612-4795
Phone (312) 355-4300
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 116 |
| Removal of skin cancer | 16 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223293 | MA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dermatology and Vein Clinic LLC | Dermatology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Dermatology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1801 W Taylor St
Ste 3E
Chicago, IL 60612
Phone (312) 996-8666
1801 W Taylor St
#3F
Chicago, IL 60612
Phone (312) 355-4300
808 S Wood St
Chicago, IL 60612
Phone (312) 413-7492
8110 Cass Ave
Darien, IL 60561
Phone (630) 920-1900
7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600
4605 Golf Rd
Skokie, IL 60076
Phone (773) 294-0107
Interoperability endpoints
- mtsoukas17540@uihealth.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/J3trBeALwJU1F3hepm2v21jJ96hxu50P/
Organizations & group practices 6
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Dermatology Physician
- Darien, IL
- NPI 1194270637
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Dermatology Physician
- Chicago, IL
- NPI 1265651434
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1083689137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 N DAYTON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606145002",
"telephone_number": "312-479-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST STE 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124795",
"telephone_number": "312-413-7448",
"fax_number": "312-996-1188"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave",
"address_2": "Univ of Chicago, Dermatology, MC 5067",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371447",
"country_code": "US",
"telephone_number": "773-702-6559",
"fax_number": "773-702-8398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSOUKAS",
"first_name": "MARIA",
"middle_name": "MAGDALENE",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MA",
"license": "223293",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036114916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.