Active NPI
Tanya Reeves Richardson, MD
- Family Medicine Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036100994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036100994 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
- Advocate Home Health Care Serv
- Advocate Illinois Masonic Medical Center
- Advocate Christ Hospital & Medical Center
- Advocate Lutheran General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32079 | OK | MD | Registered Nurse |
| MD.35203 | AL | MD | Family Medicine Physician |
| MD-43788 | IA | MD | Family Medicine Physician |
| 04-38936 | KS | MD | Family Medicine Physician |
| 302964 | LA | MD | Family Medicine Physician |
| 61570 | MN | MD | Family Medicine Physician |
| 2016035067 | MO | MD | Family Medicine Physician |
| 24673 | MS | MD | Family Medicine Physician |
| 14428 | ND | MD | Family Medicine Physician |
| 29225 | NE | MD | Family Medicine Physician |
| 9899 | SD | MD | Family Medicine Physician |
| R2210 | TX | MD | Family Medicine Physician |
| 9770841-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagemd Indiana, PC | Family Medicine | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Family Medicine | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Family Medicine
-
- Family Medicine Physician
- Merrillville, IN
- NPI 1336676923
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.