Individual provider Active NPI

Tincy Poovathur

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1235408527
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009168 Issued in IL
Practice address
344 W Hubbard St
Chicago, IL 60654-4407
Phone
(312) 222-2570
NPI assigned
Dec 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009168 IL Primary
Internal Medicine Physician 207R00000X 209009168 IL

Addresses

Primary practice location

344 W Hubbard St
Chicago, IL 60654-4407

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

7510 N Western Ave
Chicago, IL 60645-1511
Phone (866) 825-3227

Other practice location 2

344 W Hubbard St
Chicago, IL 60654-4407
Phone (312) 222-2570

Other practice location 3

3134 N Clark St
Chicago, IL 60657-4414
Phone (312) 766-4949

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tpoovathur205450@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000258 IL Practitioner - Nurse Practitioner 0840457933 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

4025 N Western Ave
Chicago, IL 60618-3726
Phone (773) 275-7700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009168ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince May 27, 2025 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 2, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 2, 2024 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince May 27, 2025 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

344 W Hubbard St
Chicago, IL 60654
Phone (312) 222-2570

29373 Network Pl
Chicago, IL 60673

3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949

7510 N Western Ave
Chicago, IL 60645
Phone (773) 764-1765

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Interoperability endpoints

  • Direct secure messaging: tpoovathur205450@direct.myadvocateaurora.org

Organizations & group practices 7

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 1

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": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1235408527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W HUBBARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544407",
            "telephone_number": "312-222-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606451511",
            "country_code": "US",
            "telephone_number": "866-825-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 W Hubbard St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544407",
            "country_code": "US",
            "telephone_number": "312-222-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3134 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574414",
            "country_code": "US",
            "telephone_number": "312-766-4949",
            "fax_number": "312-766-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOVATHUR",
        "first_name": "TINCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009168",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "209009168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpoovathur205450@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7510 N Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606451511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7510 N Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606451511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.