Individual provider Active NPI

Tania Mikaitis-Rossi, NURSE PRACTITIONER

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1104873140
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209005514 Issued in IL
Practice address
6201 W Touhy Ave
Chicago, IL 60646-1100
Phone
(224) 508-0382
Fax
(888) 255-4358
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209005514 IL Primary

Addresses

Primary practice location

6201 W Touhy Ave
Chicago, IL 60646-1100

Mailing address

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (224) 508-0382

Other identifiers 1

IdentifierTypeStateIssuer
1295941573OtherILTYPE 2 NPI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000787 IL Practitioner - Nurse Practitioner 4981638400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vadim Edelstein MD LTDGroup PAC ID 5092615278, 4 clinicians

Practice addresses (Care Compare)

4555 Oakton St
Suite 1
Skokie, IL 60076-3178
Phone 8479829988802

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
85.01
Improvement activities
40
Cost
70.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vadim Edelstein MD LTD CurrentSince Aug 7, 2015 Accepting new patients
Quality Health Unlimited,P.C. Nurse Practitioner Past Accepting new patients
Metropolitan Healthcare Partners PLLC Past Accepting new patients

Locations

4555 Oakton St
Skokie, IL 60076
Phone (847) 982-9481

4555 Oakton St
Ste A
Skokie, IL 60076

4555 Oakton St
#1
Skokie, IL 60076
Phone (847) 982-9988

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

Interoperability endpoints

  • Direct secure messaging: tania.mikaitisrossi@mhgm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHDAA/Endpoint/JAHDAA

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1104873140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "224-508-0382",
            "fax_number": "888-255-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461100",
            "telephone_number": "224-508-0382",
            "fax_number": "888-255-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKAITIS-ROSSI",
        "first_name": "TANIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1295941573",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.