Individual provider Active NPI

Ari Taitz, M.D.

  • Otolaryngology Physician
  • Highland Park, IL
National Provider Identifier
1376521732
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-092885 Issued in IL
Practice address
1160 Park Ave W
4 North
Highland Park, IL 60035-2271
Phone
(847) 433-5555
Fax
(847) 433-9148
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-092885 IL Primary

Addresses

Primary practice location

1160 Park Ave W
4 North
Highland Park, IL 60035-2271

Mailing address

1160 Park Ave W
4 North
Highland Park, IL 60035-2230
Phone (847) 433-5555

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
I20110110000829 IL Practitioner - Otolaryngology 6608065412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

1160 Park Ave W
Suite 4N
Highland Park, IL 60035-2271
Phone (847) 433-5555

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-092885ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest ENT Alliance PLLC Otolaryngology CurrentSince Nov 1, 2024 Accepting new patients
Bastian Voice Institute, LLC Otolaryngology PastSince Sep 22, 2003 Accepting new patients

Locations

3010 Highland Pkwy
Ste 550
Downers Grove, IL 60515
Phone (630) 724-1100

1160 Park Ave W
Ste 4N
Highland Park, IL 60035
Phone (847) 433-5555

4160 Rfd
Ste 103
Long Grove, IL 60047
Phone (847) 432-5555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 2

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1376521732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "4 NORTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352230",
            "telephone_number": "847-433-5555",
            "fax_number": "847-433-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PARK AVE W",
            "address_2": "4 NORTH",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352271",
            "telephone_number": "847-433-5555",
            "fax_number": "847-433-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITZ",
        "first_name": "ARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-092885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.