Individual provider Active NPI

Maria Magdalene Tsoukas, M.D., PH.D.

  • Dermatology Physician
  • Chicago, IL
National Provider Identifier
1083689137
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036114916 Issued in IL
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

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061031000509 IL Practitioner - Dermatology 0244237410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, 1,134 clinicians

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 Hospital, Chicago, IL, CCN 140150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions116
Removal of skin cancer16
Removal or shaving of skin growth1-10
Skin biopsy30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223293MAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology and Vein Clinic LLC Dermatology CurrentSince Apr 1, 2017 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 23, 2006 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 CurrentSince Mar 1, 2014 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 23, 2006 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2014 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

  • Direct secure messaging: mtsoukas17540@uihealth.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.