Individual provider Active NPI

Pompilia C Tudoriu, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1417094970
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099267 Issued in IL
Practice address
233 E. Erie St. #204
Chicago, IL 60611-2910
Phone
(312) 496-3340
Fax
(312) 500-5118
NPI assigned
Jan 31, 2007
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036099267 IL Primary

Addresses

Primary practice location

233 E. Erie St. #204
Chicago, IL 60611-2910

Mailing address

233 E. Erie St. #204
Chicago, IL 60611-2910
Phone (312) 496-3340

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
I20041115001028 IL Practitioner - Internal Medicine 5294799797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

233 E Erie St
Suite 204
Chicago, IL 60611-5938
Phone (312) 496-3340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036099267ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pompilia C Tudoriu M.D. S.C. Internal Medicine CurrentSince Mar 15, 2010 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

233 E Erie St
Ste 204
Chicago, IL 60611
Phone (312) 423-6662

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1417094970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E. ERIE ST. #204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112910",
            "telephone_number": "312-496-3340",
            "fax_number": "312-500-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E. ERIE ST. #204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112910",
            "telephone_number": "312-496-3340",
            "fax_number": "312-500-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDORIU",
        "first_name": "POMPILIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.