NPIMap

Individual provider Active NPI

Tahir Rohail, MD

  • Internal Medicine Physician
  • Riverside, IL
National Provider Identifier
1104025139
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036087235 Issued in IL
Practice address
2910 Harlem Ave
Riverside, IL 60546-1785
Phone
(708) 447-4267
Fax
(708) 447-2104
NPI assigned
Jul 11, 2007
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036087235 IL Primary

Addresses

Primary practice location

2910 Harlem Ave
Riverside, IL 60546-1785

Mailing address

1608 Robert LN
Naperville, IL 60564-7126
Phone (708) 415-7459

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
I20051011000929 IL Practitioner - Internal Medicine 2769477942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2910 Harlem Ave
Riverside, IL 60546-1785
Phone (708) 447-4267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036087235ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Internal Medicine Group SC Internal Medicine CurrentSince Oct 18, 2004 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

215 Remington Blvd
Ste K
Bolingbrook, IL 60440
Phone (630) 518-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEIDBD/Endpoint/DEIDBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1104025139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ROBERT LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647126",
            "telephone_number": "708-415-7459",
            "fax_number": "708-447-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 HARLEM AVE",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605461785",
            "telephone_number": "708-447-4267",
            "fax_number": "708-447-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAIL",
        "first_name": "TAHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, IL

Sources for this page

Verify at the official NPI Registry.