Individual provider Active NPI

Rajive Tandon, M.D.

  • Pulmonary Disease Physician
  • Naperville, IL
National Provider Identifier
1104878115
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036-112061 Issued in IL
Practice address
100 Spalding Dr Ste 200
Naperville, IL 60540-6552
Phone
(630) 355-8776
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036-112061 IL
Pulmonary Disease Physician 207RP1001X 036-112061 IL Primary

Addresses

Primary practice location

100 Spalding Dr Ste 200
Naperville, IL 60540-6552

Mailing address

100 Spalding Dr Ste 200
Naperville, IL 60540-6552
Phone (630) 355-8776

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sublung@380.direct.myezyaccess.com

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
I20050418000870 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7113814419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Hospital & facility affiliations

  • John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
  • Provident Hospital of Chicago Hospital, Chicago, IL, CCN 140300
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-112061ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Current Accepting new patients
Alexian Brothers Medical Care Group NFP CurrentSince Oct 1, 2020 Accepting new patients
Cook County Hospitalist CurrentSince Mar 7, 2024 Accepting new patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince May 1, 2023 Accepting new patients
Cook County CurrentSince Mar 7, 2024 Accepting new patients
Presence Healthcare Services CurrentSince Jul 1, 2022 Accepting new patients
Cook County Current Accepting new patients
Alexian Brothers Medical Care Group NFP Critical Care Medicine Current Accepting new patients
Saint Anthony'S Physician Group Past Accepting new patients
Osu Internal Medicine, LLC Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

1614 W Central Rd
Ste 105
Arlington Hts, IL 60005
Phone (847) 255-9697

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

6974 N Clark St
Chicago, IL 60626
Phone (773) 539-1331

62311 Collection Ctr Dr
Chicago, IL 60693

800 Biesterfield Rd
Ste 510
Elk Grove Vlg, IL 60007
Phone (847) 981-3360

100 Spalding Dr
Ste 200
Naperville, IL 60540
Phone (630) 355-5860

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 11

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 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1104878115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406552",
            "telephone_number": "630-355-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406552",
            "telephone_number": "630-355-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "RAJIVE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036-112061",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-112061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sublung@380.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "100 Spalding Dr Ste 200",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.