Individual provider Active NPI

Tony Nahhas, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1285619056
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088623 Issued in IL
Practice address
6444 N Central Ave
Chicago, IL 60646-2935
Phone
(773) 631-5858
Fax
(773) 631-5895
NPI assigned
Dec 14, 2005
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036088623 IL Primary

Addresses

Primary practice location

6444 N Central Ave
Chicago, IL 60646-2935

Mailing address

2740 W Foster Ave
Ste LL7
Chicago, IL 60625-3543
Phone (773) 878-8200

Other identifiers 1

IdentifierTypeStateIssuer
036088623MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnahhas277037@direct.northshore.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
I20040301000051 IL Practitioner - Internal Medicine 5890680565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

6450 W Touhy Ave
Niles, IL 60714-4512

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Feb 15, 2023 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

2740 W Foster Ave
Ste 310
Chicago, IL 60625

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

2800 N Sheridan Rd
Ste 506
Chicago, IL 60657
Phone (773) 248-1188

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

6444 N Central Ave
Chicago, IL 60646
Phone (224) 830-3136

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

6450 W Touhy Ave
Niles, IL 60714
Phone (847) 583-1000

6450 W Touhy Ave
Fl 2
Niles, IL 60714
Phone (773) 293-4710

Organizations & group practices 5

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 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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1285619056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE LL7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253543",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462935",
            "telephone_number": "773-631-5858",
            "fax_number": "773-631-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHHAS",
        "first_name": "TONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088623",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnahhas277037@direct.northshore.org",
            "affiliation": "N",
            "address_1": "6444 N Central Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606462935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.