Individual provider Active NPI

Tanya Reeves Richardson, MD

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1427106921
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036100994 Issued in IL
Practice address
9550 W 167TH St Ste 200
Orland Park, IL 60467-5561
Phone
(708) 873-4500
Fax
(708) 873-4530
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61570 MN
Family Medicine Physician 207Q00000X 14428 ND
Family Medicine Physician 207Q00000X 9770841-1205 UT
Family Medicine Physician 207Q00000X R2210 TX
Family Medicine Physician 207Q00000X MD-43788 IA
Family Medicine Physician 207Q00000X 32079 OK
Family Medicine Physician 207Q00000X 2016035067 MO
Family Medicine Physician 207Q00000X 04-38936 KS
Family Medicine Physician 207Q00000X 24673 MS
Family Medicine Physician 207Q00000X 01052656A IN
Family Medicine Physician 207Q00000X 9899 SD
Family Medicine Physician 207Q00000X 29225 NE
Family Medicine Physician 207Q00000X MD.35203 AL
Family Medicine Physician 207Q00000X 302964 LA
Family Medicine Physician 207Q00000X 036100994 IL Primary

Addresses

Primary practice location

9550 W 167TH St Ste 200
Orland Park, IL 60467-5561

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

3601 SW 160th Ave
Suite 250
Miramar, FL 33027-6308
Phone (877) 866-7123

Other identifiers 1

IdentifierTypeStateIssuer
036100994MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address treevesrichardson402294@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050201000812 IL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 6103877758 Reassigns benefits to 2 organizations
I20140730002147 IN Practitioner - Family Practice 6103877758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11600 S Kedzie Ave
Merrionette Park, IL 60803-6307
Phone (708) 272-4150

1357 W 103Rd St
Adv Med GRP Evergreen
Chicago, IL 60643-2392
Phone (773) 238-0800

1412 Waukegan Rd
Glenview, IL 60025-2121
Phone (847) 901-9880

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32079OKMDRegistered Nurse
MD.35203ALMDFamily Medicine Physician
MD-43788IAMDFamily Medicine Physician
04-38936KSMDFamily Medicine Physician
302964LAMDFamily Medicine Physician
61570MNMDFamily Medicine Physician
2016035067MOMDFamily Medicine Physician
24673MSMDFamily Medicine Physician
14428NDMDFamily Medicine Physician
29225NEMDFamily Medicine Physician
9899SDMDFamily Medicine Physician
R2210TXMDFamily Medicine Physician
9770841-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd Indiana, PC Family Medicine CurrentSince Jan 24, 2023 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Apr 1, 2012 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Jun 15, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 21, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 15, 2024 Accepting new patients
Swedish Covenant Management Services, Inc. Family Medicine CurrentSince Apr 1, 2012 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949

29373 Network Pl
Chicago, IL 60673

5140 N California Ave
Ste 635
Chicago, IL 60625
Phone (773) 907-3038

9550 W 167th St
Ste 200
Orland Park, IL 60467
Phone (708) 873-4500

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

6097 Broadway
Merrillville, IN 46410
Phone (219) 758-5152

5995 US Highway 6
Portage, IN 46368
Phone (219) 762-2134

Interoperability endpoints

  • Direct secure messaging: treevesrichardson402294@direct.myadvocateaurora.org

Organizations & group practices 6

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 5

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1427106921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 W 167TH ST STE 200",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675561",
            "telephone_number": "708-873-4500",
            "fax_number": "708-873-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 SW 160th Ave",
            "address_2": "SUITE 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276308",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES RICHARDSON",
        "first_name": "TANYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "61570",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "14428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "9770841-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-43788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016035067",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-38936",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24673",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052656A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "9899",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "29225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.35203",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "302964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036100994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100994",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treevesrichardson402294@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9550 W 167th St Ste 200",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9550 W 167th St Ste 200",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604675561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.