Individual provider Active NPI

Nicholas Nasry Tadros, MD

  • Urology Physician
  • Lafayette, IN
National Provider Identifier
1114185394
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01100336A Issued in IN
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

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161101002115 OH Practitioner - Urology 8022255157 Reassigns benefits to 1 organization
I20170928003125 IL Practitioner - Urology 8022255157 Reassigns benefits to 3 organizations
I20260302002969 WV Practitioner - Urology 8022255157 Reassigns benefits to 1 organization

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
Osu Urology, LLCGroup PAC ID 3476565946, 37 clinicians

Practice addresses (Care Compare)

915 Olentangy River Rd
Columbus, OH 43212-3153
Phone (614) 293-8155

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 2, 2021 Accepting new patients
United Hospital Center, Inc. Urology CurrentSince Feb 17, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 2, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 9, 2017 Accepting new patients
Osu Urology, LLC Urology CurrentSince Jun 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 9, 2017 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

  • Direct secure messaging: ntadros1218007@direct.osumc.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.