Active NPI
Dasha Tumashov, APRN, FNP-C
- Nurse Practitioner
- Elk Grove Village, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.024286
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024286 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services Ric | Nurse Practitioner | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1659306587
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.