Individual provider Active NPI

Dasha Tumashov, APRN, FNP-C

  • Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1295492767
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024286 Issued in IL
Practice address
935 Beisner Rd Ste 1509
Elk Grove Village, IL 60007-3475
Phone
(312) 238-1751
Fax
(312) 238-1763
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.024286 IL Primary

Addresses

Primary practice location

935 Beisner Rd Ste 1509
Elk Grove Village, IL 60007-3475

Mailing address

355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000

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
I20220113002801 IL Practitioner - Nurse Practitioner 4880086248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024286ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Ric Nurse Practitioner CurrentSince Dec 20, 2021 Accepting new patients

Locations

7600 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 388-6700

2757 Solution Ctr
Chicago, IL 60677

935 Beisner Rd
Ste 1509
Elk Grove Village, IL 60007
Phone (312) 238-1751

955 Beisner Rd
Elk Grove Vlg, IL 60007
Phone (847) 640-5666

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1295492767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E ERIE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113167",
            "telephone_number": "312-238-1000",
            "fax_number": "312-238-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BEISNER RD STE 1509",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073475",
            "telephone_number": "312-238-1751",
            "fax_number": "312-238-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMASHOV",
        "first_name": "DASHA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.