Individual provider Active NPI

Vincent Michael Tupper, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1609139583
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036.142276 Issued in IL
Practice address
3000 N Halsted St Ste 823
Chicago, IL 60657-6185
Phone
(773) 296-7937
Fax
(773) 296-3995
NPI assigned
Jun 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036142276 IL
Anesthesiology Physician 207L00000X 036.142276 IL Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01078148A IN

Addresses

Primary practice location

3000 N Halsted St Ste 823
Chicago, IL 60657-6185

Mailing address

29373 Network Place
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

7280 W Lincoln Hwy
Crown Point, IN 46307-9526
Phone (219) 864-9494

Other practice location 2

7280 W. Lincoln Hwy
Schererville, IN 46375
Phone (219) 864-9494

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vtupper395069@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170509000221 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 1557643368 Reassigns benefits to 5 organizations
I20170509001598 IN Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 1557643368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147

836 W Wellington Ave
Chicago, IL 60657-5147

Hospital & facility affiliations

  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.142276ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Associated Medical Center LTD CurrentSince Jan 1, 2021 Accepting new patients
Advanced Pain & Anesthesia Consultants, PC Pain Medicine CurrentSince Dec 1, 2019 Accepting new patients
Advance Pain & Anesthesia Consultants, PC CurrentSince Dec 1, 2019 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Orland Park Integrated Health,LTD. CurrentSince Jun 1, 2018 Accepting new patients
Pain Control Associates, LLC Pain Medicine CurrentSince Apr 4, 2017 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Dec 24, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 7, 2024 Accepting new patients
Pain Control Associates LLC Pain Medicine CurrentSince Apr 4, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 7, 2024 Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3000 N Halsted St
Ste 823
Chicago, IL 60657
Phone (773) 296-7937

13705 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-4416

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9441 W 144th Pl
Ste 200
Orland Park, IL 60462
Phone (708) 403-2727

11456 Broadway
Crown Point, IN 46307
Phone (219) 488-0154

7280 W Lincoln Hwy
Crown Point, IN 46307
Phone (219) 769-7004

425 US Highway 30
Ste 400
Dyer, IN 46311
Phone (219) 488-0165

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9200 Calumet Ave
Ste S200
Munster, IN 46321
Phone (219) 961-9621

Interoperability endpoints

  • Direct secure messaging: vtupper395069@direct.myadvocateaurora.org

Organizations & group practices 10

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 3

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1609139583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N HALSTED ST STE 823",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576185",
            "telephone_number": "773-296-7937",
            "fax_number": "773-296-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079526",
            "country_code": "US",
            "telephone_number": "219-864-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7280 W. Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "46375",
            "country_code": "US",
            "telephone_number": "219-864-9494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUPPER",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-16",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036142276",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036.142276",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01078148A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vtupper395069@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 N Halsted St Ste 823",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3000 N Halsted St Ste 823",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.