Active NPI
Dariush Sam Takhtehchian, M.D.
- Cardiovascular Disease Physician
- Hines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-106592
- Practice address
- 5TH Roosevelt Road
Edward Hines, Jr Hospital
Hines, IL 60141 - Phone
- (708) 202-8387
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036-106592 | IL | Primary |
Addresses
Primary practice location
5TH Roosevelt Road
Edward Hines, Jr Hospital
Hines, IL 60141
Mailing address
1200 S Prospect Ave
Suite 205
Elmhurst, IL 60126-5643
Phone (630) 782-0190
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtakhtehchian206067@direct.myadvocateaurora.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 N Cumberland Ave
Park Ridge, IL 60068-3215
Phone (847) 825-0300
1700 Luther LN
Park Ridge, IL 60068-1270
1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-9368
1775 Dempster St
Park Ridge, IL 60068-1143
1775 W Ballard Rd
Geriatrics
Park Ridge, IL 60068-1005
Phone (847) 318-2500
1875 Dempster St
Park Ridge, IL 60068-1186
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106592 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Lutheran General Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Aamg Reach PLLC | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-6020
1875 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-8640
1775 Ballard Rd
Fl 1
Park Ridge, IL 60068
Phone (847) 318-2400
1875 W Dempster St
Ste 525
Park Ridge, IL 60068
Phone (847) 698-3600
1775 Ballard Rd
Lowr
Park Ridge, IL 60068
Phone (847) 698-5500
Interoperability endpoints
- dtakhtehchian206067@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Cardiovascular Disease Physician
- Park Ridge, IL
- NPI 1801809306
-
- Family Medicine Physician
- Chicago, IL
- NPI 1609502707
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1255412193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S PROSPECT AVE",
"address_2": "SUITE 205",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601265643",
"telephone_number": "630-782-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH ROOSEVELT ROAD",
"address_2": "EDWARD HINES, JR HOSPITAL",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKHTEHCHIAN",
"first_name": "DARIUSH",
"middle_name": "SAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-106592",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtakhtehchian206067@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "1775 Ballard Rd",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.