Individual provider Active NPI

Stephen J Talty, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Palatine, IL
National Provider Identifier
1306821053
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036080186 Issued in IL
Practice address
909 E Palatine Rd
Palatine, IL 60074-5551
Phone
(847) 776-1400
Fax
(847) 776-1424
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036080186 IL Primary

Addresses

Primary practice location

909 E Palatine Rd
Palatine, IL 60074-5551

Mailing address

909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400

Other identifiers 3

IdentifierTypeStateIssuer
01618781OtherILBC/BS
036080186MedicaidIL
250003386OtherILMEDICARE RAILROAD

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address stephen.talty.1@15486.direct.athenahealth.com Direct
Direct Messaging Address stephen.talty.1@15486.direct.athenahealth.com Direct
Direct Messaging Address stephen.talty.1@15486.direct.athenahealth.com Direct
Direct Messaging Address stephen.talty.1@15486.direct.athenahealth.com Direct

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
I20100430000765 IL Practitioner - Physical Medicine and Rehabilitation 7214830462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Cincinnati College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates of the Midwest, S.C.Group PAC ID 4880597020, 10 clinicians

Practice addresses (Care Compare)

909 E Palatine Rd
Palatine, IL 60074-5551
Phone (847) 776-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
100
Improvement activities
40
Cost
55.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associates of the Midwest, S.C. Physical Medicine & Rehabilitation CurrentSince Jan 1, 1987 Accepting new patients

Locations

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

1500 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 816-3200

1201 American Way
Libertyville, IL 60048
Phone (847) 371-6500

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

960 Audubon Way
Lincolnshire, IL 60069
Phone (847) 876-2401

550 Ridgeview Dr
McHenry, IL 60050
Phone (800) 455-6768

850 E US Highway 45
Mundelein, IL 60060
Phone (224) 864-7400

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

16450 S 97th Ave
Orland Park, IL 60467
Phone (708) 403-6500

909 E Palatine Rd
Palatine, IL 60074
Phone (847) 776-1400

3705 Deerfield Rd
Riverwoods, IL 60015
Phone (847) 459-1200

1601 Parkview Ave
Rockford, IL 61107
Phone (815) 395-0600

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

950 S Mulford Rd
Rockford, IL 61108
Phone (815) 381-8500

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

176 Thomas Ct
Wauconda, IL 60084
Phone (847) 526-5551

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: stephen.talty.1@15486.direct.athenahealth.com

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.

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1306821053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E PALATINE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745551",
            "telephone_number": "847-776-1400",
            "fax_number": "847-776-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALTY",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036080186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01618781",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080186",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "250003386",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.talty.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Use for Kentland, Gilman, Milford & Watseka Locations",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.talty.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.talty.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.talty.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 N 7th St",
            "city": "Kentland",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479511379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.