Individual provider Active NPI

Tareq Tareq Kass Hout, MD

  • Vascular Neurology Physician
  • Chicago, IL
National Provider Identifier
1144513359
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
036144998 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 0101282909 VA
Vascular Neurology Physician 2084V0102X 036144998 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

Other practice location 1

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2000

Other practice location 2

12200 Warwick Blvd Ste 410
Newport News, VA 23601-2548
Phone (757) 534-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkasshout200388@uchospital.direct-ci.com University of Chicago Physicians Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, WI3 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
I20180404001925 IN Practitioner - NeurologyPractitioner - Other (Physician)Practitioner - Neuropsychiatry 4880910512 Reassigns benefits to 2 organizations
I20180424000154 IL Practitioner - NeurologyPractitioner - Neurosurgery 4880910512 Reassigns benefits to 5 organizations
I20200214001550 WI Practitioner - Neurology 4880910512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians

Practice addresses (Care Compare)

10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (773) 702-1000

5841 S Maryland Ave
Chicago, IL 60637-1447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144998ILMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Sep 14, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Feb 4, 2020 Accepting new patients
St Mary Medical Center Inc Current Accepting new patients
Adventist Health Partners, Inc. CurrentSince Nov 1, 2024 Accepting new patients
The Methodist Hospitals, Inc Neurology CurrentSince Aug 1, 2021 Accepting new patients
Cook County CurrentSince Feb 26, 2020 Accepting new patients
Rockford Health Physicians CurrentSince Mar 10, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Cook County Current Accepting new patients
The University of Chicago Medical Center CurrentSince Sep 14, 2020 Accepting new patients
Cook County CurrentSince Feb 26, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Aug 15, 2023 Accepting new patients
Adventist Health Partners,Inc CurrentSince Nov 1, 2024 Accepting new patients
University of Chicago CurrentSince Sep 14, 2020 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Aug 15, 2023 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Feb 4, 2020 Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

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

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

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

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: tkasshout467024@direct.gundersenhealth.org
  • Direct secure messaging: tkasshout200388@uchospital.direct-ci.com
  • Direct secure messaging: tkasshout244716@direct.rivhs.com

Organizations & group practices 16

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.

View all 16

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": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1144513359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR",
            "address_2": "SUITE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 J Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012548",
            "country_code": "US",
            "telephone_number": "757-534-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASS HOUT",
        "first_name": "TAREQ",
        "middle_name": "TAREQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "VA",
            "license": "0101282909",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IL",
            "license": "036144998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkasshout200388@uchospital.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "University of Chicago Physicians Group",
            "address_1": "5841 S Maryland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.