Individual provider Active NPI

Antone John Tatooles, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oak Lawn, IL
National Provider Identifier
1477548170
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036089268 Issued in IL
Practice address
4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660
Phone
(708) 346-4040
Fax
(708) 346-3287
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036089268 IL
Surgery Physician 208600000X 01045251A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01045251A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036089268 IL Primary

Addresses

Primary practice location

4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660

Mailing address

9500 Bormet Dr Ste 204
Mokena, IL 60448-8399
Phone (708) 346-4044

Other identifiers 8

IdentifierTypeStateIssuer
01618941OtherILBCBS
1477548170MedicaidMI
200123450AMedicaidIN
200123450EMedicaidIN
036089268MedicaidIL
200123450CMedicaidIN
200123450BMedicaidIN
200123450DMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atatooles235891@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20050512000040 IL Practitioner - Cardiac SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5092786376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery, Thoracic Surgery
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates S CGroup PAC ID 7214916402, 48 clinicians

Practice addresses (Care Compare)

4400 W 95TH St
Suite 308
Oak Lawn, IL 60453-2660
Phone (708) 346-4040

Hospital & facility affiliations

  • Home Health Advantage, Inc Home health agency, Orland Park, IL, CCN 148110
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: atatooles140561@direct.rush.rush-health.com
  • Direct secure messaging: atatooles235891@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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.

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    "enumeration_type": "NPI-1",
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    "number": "1477548170",
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            "fax_number": "708-346-3287"
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        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOOLES",
        "first_name": "ANTONE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
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    "identifiers": [
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            "desc": "Other (non-Medicare)",
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            "issuer": null,
            "identifier": "200123450A",
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            "issuer": null,
            "identifier": "200123450E",
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            "identifier": "200123450D",
            "state": "IN"
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atatooles235891@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4400 W 95th St Ste 308",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.