Individual provider Active NPI

Dariush Sam Takhtehchian, M.D.

  • Cardiovascular Disease Physician
  • Hines, IL
National Provider Identifier
1255412193
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-106592 Issued in IL
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000861 IL Practitioner - Cardiovascular Disease (Cardiology) 1951394089 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
036-106592ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Aug 15, 2007 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 15, 2007 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.