Individual provider Active NPI

Rachel Paige Tindall, M.D.

  • Transplant Surgery Physician
  • Springfield, IL
National Provider Identifier
1245509926
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
036.166054 Issued in IL
Practice address
747 N Rutledge St FL 2
Springfield, IL 62702-6700
Phone
(217) 545-8000
Fax
(217) 545-7795
NPI assigned
Dec 24, 2011
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 036.166054 IL Primary
Surgery Physician 208600000X 036.166054 IL
Surgery Physician 208600000X MD452820 PA

Addresses

Primary practice location

747 N Rutledge St FL 2
Springfield, IL 62702-6700

Mailing address

PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000

Other practice location 1

2566 Haymaker Rd Ste 311
Monroeville, PA 15146-3555
Phone (412) 359-6800

Other practice location 2

320 E North Ave Fl 4
Pittsburgh, PA 15212
Phone (412) 359-6800

Other practice location 3

747 N Rutledge St Fl 3
Springfield, IL 62702-6700
Phone (217) 545-8000

Other identifiers 2

IdentifierTypeStateIssuer
13872005OtherCAQH
036166054MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtindall26206@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230822003793 IL Practitioner - General Surgery 0840586715 Reassigns benefits to 1 organization
I20240921000345 MO Practitioner - General Surgery 0840586715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4321 Washington St
Suite 4000
Kansas City, MO 64111-5965
Phone (816) 932-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142865CAMDClinical Social Worker
036.166054ILMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc Surgery CurrentSince Aug 26, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 7, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Aug 7, 2023 Accepting new patients
St Lukes Hospital of Kansas City Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112

747 N Rutledge St
Fl 2
Springfield, IL 62702
Phone (217) 757-7932

747 N Rutledge St
Fl 3
Springfield, IL 62702
Phone (217) 545-0885

747 N Rutledge St
Fl 5
Springfield, IL 62702
Phone (217) 545-3262

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

1035 N Emporia Ave
Ste 185
Wichita, KS 67214
Phone (316) 303-1045

4321 Washington St
Ste 4000
Kansas City, MO 64111
Phone (816) 932-4549

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: rtindall26206@direct.ahn.org
  • Direct secure messaging: rtindall661570@direct.saint-lukes.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1324684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1245509926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19639",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949639",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N RUTLEDGE ST FL 2",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026700",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2566 Haymaker Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151463555",
            "country_code": "US",
            "telephone_number": "412-359-6800",
            "fax_number": "412-359-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E North Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15212",
            "country_code": "US",
            "telephone_number": "412-359-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N Rutledge St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627026700",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "RACHEL",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-24",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "IL",
            "license": "036.166054",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.166054",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD452820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13872005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036166054",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtindall26206@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2566 Haymaker Rd Ste 311",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.