Individual provider Active NPI

Bogdan Tarau, FNP-BC

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1467115410
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023926 Issued in IL
Practice address
1435 N Randall Rd Ste 206
Elgin, IL 60123-2303
Phone
(847) 429-3988
Fax
(847) 324-2195
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023926 IL Primary

Addresses

Primary practice location

1435 N Randall Rd Ste 206
Elgin, IL 60123-2303

Mailing address

1435 N Randall Rd Ste 206
Elgin, IL 60123-2303
Phone (847) 429-3988

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209023926ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Arrhythmia Services LTD CurrentSince Oct 24, 2021 Accepting new patients

Locations

1435 N Randall Rd
Ste 206
Elgin, IL 60123
Phone (847) 429-3988

Organizations & group practices 1

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1467115410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 206",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232303",
            "telephone_number": "847-429-3988",
            "fax_number": "847-324-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 206",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232303",
            "telephone_number": "847-429-3988",
            "fax_number": "847-324-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAU",
        "first_name": "BOGDAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.