Michael Vincent Tallarico, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

01078614A Issued in IN

Practice address

1001 Calumet Ave
Dyer, IN 46311

Phone

(219) 924-8178

NPI assigned

Jun 17, 2010

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal MedicineAlso: Hematology/Oncology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of the Calumet Area Inc Hospice, Munster, IN, CCN 151500
• Community Hospital Hospital, Munster, IN, CCN 150125
• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
• Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Franciscan Health Munster Hospital, Munster, IN, CCN 150165
• Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.tallarico@nwoncologypc.ikm.direct-ci.com
• Direct secure messaging: mtallarico251278@direct.franciscanalliance.org

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.

• Northwest Cancer Centers, PC

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1578527826
  Medicare reassignment Care Compare group NPD
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1396847596
  Medicare reassignment NPD
• St. Catherine Hospital Inc.

  dba St.Catherine Hospital Outpatient Pharmacy

  • Community/Retail Pharmacy
  • East Chicago, IN
  • NPI 1568806057
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Stroke and Rehabilitation Center Inc

  dba Powers Health Rehabilitation Center

  • Rehabilitation Hospital
  • Crown Point, IN
  • NPI 1801301437

  Inpatient rehabilitation facility

  Care Compare affiliation
• Franciscan Health Dyer & Hammond

  dba Franciscan Health Dyer

  • General Acute Care Hospital
  • Dyer, IN
  • NPI 1811077431
  Care Compare affiliation
• Franciscan Health Munster

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1427493246
  Care Compare affiliation
• Hospice of the Calumet Area, Inc.

  • Community Based Hospice Care Agency
  • Munster, IN
  • NPI 1780754689
  Care Compare affiliation
• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1467773036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111596",
            "telephone_number": "219-924-7178",
            "fax_number": "219-924-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46311",
            "telephone_number": "219-924-8178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "GME Office 101/1740",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-6497",
            "fax_number": "708-216-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLARICO",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125058221",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01078614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.tallarico@nwoncologypc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1001 Calumet Ave",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Symphony of Dyer LLC
• Brittney Jean Szykowny
• Tae'Ni Chang-Stroman M.D., P.C. (Kids First Pediatrics on 30)
• Dai Takahashi, DO
• Britney Talarico, RN
• Victoria Paige Talley, OTR
• Seth A Tambrini, DDS
• Lady Margarette Tan, APN
• Mitchell Tannenbaum, PT
• Stacey Tatro, DMD

• Medical Oncology Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.

Verify at the official NPI Registry.