Individual provider Active NPI

Joshua A Tepper, M.D.

  • Vascular & Interventional Radiology Physician
  • Lake Forest, IL
National Provider Identifier
1114183514
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036116672 Issued in IL
Practice address
1000 N Westmoreland Rd Ste 800
Lake Forest, IL 60045-1658
Phone
(847) 535-6300
Fax
(847) 535-7847
NPI assigned
Aug 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036116672 IL Primary
Diagnostic Radiology Physician 2085R0202X 036116672 IL

Addresses

Primary practice location

1000 N Westmoreland Rd Ste 800
Lake Forest, IL 60045-1658

Mailing address

1000 N Westmoreland Rd Ste 800
Lake Forest, IL 60045-1658
Phone (847) 535-6300

Other practice location 1

676 N Saint Clair St
Suite 800
Chicago, IL 60611-2927
Phone (312) 926-2000

Other practice location 2

2601 Compass Rd Ste 125
Glenview, IL 60026-8089
Phone (847) 843-3376

Other practice location 3

2604 Dempster St Ste 101
Park Ridge, IL 60068-8425
Phone (847) 843-3376

Other practice location 4

401 Linden Ave
Wilmette, IL 60091-2844
Phone (847) 843-3376

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
I20101123000888 IL Practitioner - Vascular SurgeryPractitioner - Diagnostic Radiology 8123214640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Spectrum Imaging SCGroup PAC ID 3678892247, 41 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600

1638 W Surf St
Chicago, IL 60657-3599
Phone (800) 695-8191

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116672ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Oct 20, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 20, 2023 Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Apr 1, 2023 Accepting new patients
Spectrum Imaging SC CurrentSince Oct 4, 2024 Accepting new patients
Scancare Diagnostics LLC PastSince Oct 4, 2024 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

1000 N Westmoreland Rd
Ste 800
Lake Forest, IL 60045
Phone (847) 535-6300

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 5

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 2

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1114183514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD STE 800",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-535-6300",
            "fax_number": "847-535-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD STE 800",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-535-6300",
            "fax_number": "847-535-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 N Saint Clair St",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112927",
            "country_code": "US",
            "telephone_number": "312-926-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Compass Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268089",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Dempster St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600688425",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912844",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036116672",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036116672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.