Aman Tineh, PA

Key facts

NPI

1497523484

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

085-010057 (IL)

Practice address

17495 La Grange Rd
Tinley Park, IL 60487-7581

Phone

(630) 469-9200

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Dupage Medical Group LTD Multi-Specialty Clinic/Center · Downers Grove, IL · NPI 1801833983
  Medicare reassignment NPD IL
• Dupage Medical Group LTD Durable Medical Equipment & Medical Supplies · Glen Ellyn, IL · NPI 1760979447
  NPD

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dupage Medical Group LTD (1,326 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atineh266133@dulyhealthandcare.direct-ci.com

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2024.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1497523484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17495 LA GRANGE RD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604877581",
            "telephone_number": "630-469-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINEH",
        "first_name": "AMAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-010057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atineh266133@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17495 La Grange Rd",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604877581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tinley Park, IL

• Lisa Renee Thompson
• Thrive Counseling, Coaching, & Consulting LLC
• Thrive Integrative Healthcare
• Thriving Lives Counseling, LLC
• Jenna Tilton
• Tinley Court Supportive Living
• Tinley Dental Group LLC
• Tinley Orland Medical Center LLC
• Tinley Park Apothecary LLC
• Tinley Park Chiropractic ,LTD.

All providers in Tinley Park, IL · Physician Assistant in Illinois