Individual provider Active NPI

Joseph M Tages, M.D.

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1417964206
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036071393 Issued in IL
Practice address
330 Weston Ave
Aurora, IL 60505-4767
Phone
(630) 801-0031
Fax
(630) 801-0199
NPI assigned
Aug 2, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036071393 IL Primary

Addresses

Primary practice location

330 Weston Ave
Aurora, IL 60505-4767

Mailing address

330 Weston Ave
Aurora, IL 60505-4767
Phone (630) 801-0031

Other identifiers 1

IdentifierTypeStateIssuer
036071393MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071393ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Medical & Surgical Associates,S.C. PastSince Jul 1, 1996 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417964206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WESTON AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054767",
            "telephone_number": "630-801-0031",
            "fax_number": "630-801-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WESTON AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054767",
            "telephone_number": "630-801-0031",
            "fax_number": "630-801-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGES",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036071393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071393",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.