Tais V. Crawford, M.D.
Individual provider Active NPI Family Medicine Physician · Robbins, IL
NPI 1376578799 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376578799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 13450 S Kedzie Ave
Robbins Health Center
Robbins, IL 60472-1639 - Phone
- (708) 293-8100
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cook County
Practice addresses (Care Compare)
1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone (708) 753-5800
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060119000357 | IL | Practitioner - Family Practice | 5698799468 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099766 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Family Medicine | Current |
Accepting new patients |
| Cook County | Current |
Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Family Medicine | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1900 W Polk St
Rm G16
Chicago, IL 60612
1645 Cottage Grove Ave
Ford Heights, IL 60411
Phone (708) 753-5800
13450 S Kedzie Ave
Robbins, IL 60472
Phone (708) 293-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
13450 S Kedzie Ave
Robbins Health Center
Robbins, IL 60472-1639
Mailing address
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000
Other providers in Robbins, IL
- Mayra Barrios
- Kayla Ayana Bell
- Cem Home Health Services, Inc
- Cook County
- Cook County
- Frankie Darden
- Ashley Dennard
- Cosandra F Gray-Matthews
- Healing Hands Mental Health
- Tristana Hunt
All providers in Robbins, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.