Active NPI
Nicholas Nasry Tadros, MD
- Urology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01100336A
- Practice address
- 3920 St Francis Way Ste 105
Lafayette, IN 47905-4917 - Phone
- (765) 428-1660
- Fax
- (765) 428-1627
- NPI assigned
- May 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01100336A | IN | Primary |
| Urology Physician | 208800000X | 35.128008 | OH | |
| Urology Physician | 208800000X | 036-144237 | IL |
Addresses
Primary practice location
3920 St Francis Way Ste 105
Lafayette, IN 47905-4917
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
915 Olentangy River Rd
Columbus, OH 43212-3153
Phone (614) 293-8155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Oregon Health Sciences University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
915 Olentangy River Rd
Columbus, OH 43212-3153
Phone (614) 293-8155
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| United Hospital Center, Inc. | Urology | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Osu Urology, LLC | Urology | Current | Accepting new patients |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1750 E Lake Shore Dr
Ste LL2
Decatur, IL 62521
Phone (217) 422-0210
5409 N Knoxville Ave
Ste 102
Peoria, IL 61614
Phone (309) 682-9898
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A1
Peoria, IL 61602
301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
301 N 8th St
#4B
Springfield, IL 62701
Phone (217) 545-7305
300 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3276
915 Olentangy River Rd
Columbus, OH 43212
915 Olentangy River Rd
Ste 2000
Columbus, OH 43212
Phone (614) 293-4889
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
Interoperability endpoints
- ntadros1218007@direct.osumc.edu
- ntadrosmd318223@carlehiedirect.net
Organizations & group practices 9
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.
-
- Urology Physician
- Columbus, OH
- NPI 1588612568
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1114185394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 ST FRANCIS WAY STE 105",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054917",
"telephone_number": "765-428-1660",
"fax_number": "765-428-1627"
}
],
"practiceLocations": [
{
"address_1": "915 Olentangy River Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432123153",
"country_code": "US",
"telephone_number": "614-293-8155",
"fax_number": "614-293-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TADROS",
"first_name": "NICHOLAS",
"middle_name": "NASRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-24",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01100336A",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.128008",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036-144237",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.