Individual provider Active NPI

Aaron Tabor, M.D., M.P.H.

  • Emergency Medicine Physician
  • New Lenox, IL
National Provider Identifier
1518352400
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036145358 Issued in IL
Practice address
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone
(801) 428-2239
NPI assigned
Mar 30, 2015
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036145358 IL Primary
Emergency Medicine Physician 207P00000X R6488 TX
Emergency Medicine Physician 207P00000X 4301107916 MI

Addresses

Primary practice location

1900 Silver Cross Blvd
New Lenox, IL 60451

Mailing address

2800 E Cottonwood Pkwy Ste 400
Cottonwood Heights, UT 84121-7296
Phone (801) 428-2239

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-1601

Other practice location 2

430 Warrenville Rd Ste 230
Lisle, IL 60532-1348
Phone (888) 693-6437

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atabor217751@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180604000788 IL Practitioner - Emergency Medicine 3779848213 Reassigns benefits to 4 organizations
I20180606001227 TX Practitioner - Emergency Medicine 3779848213 Reassigns benefits to 3 organizations
I20240503001201 IN Practitioner - Emergency Medicine 3779848213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Strategies,LTD.Group PAC ID 6103925920, 32 clinicians
Illinois Emergency Medicine Specialists LLCGroup PAC ID 6103071808, 43 clinicians

Practice addresses (Care Compare)

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036145358ILMDEmergency Medicine Physician
4301107916MIMDEmergency Medicine Physician
R6488TXMDEmergency Medicine Physician
TP103KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince May 1, 2023 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Apr 15, 2024 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince May 13, 2023 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
Em Strategies,LTD. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Ky-I Medical Services, P.S.C. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

12701 W 143rd St
Lockport, IL 60491
Phone (708) 364-6337

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: atabor217751@direct.edward.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1518352400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COTTONWOOD PKWY STE 400",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841217296",
            "telephone_number": "801-428-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "60451",
            "telephone_number": "801-428-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Warrenville Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605321348",
            "country_code": "US",
            "telephone_number": "888-693-6437",
            "fax_number": "630-432-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036145358",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R6488",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301107916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atabor217751@direct.edward.org",
            "affiliation": "N",
            "address_1": "430 Warrenville Rd Ste 230",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605321348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.