Active NPI
Vincent Michael Tupper, M.D.
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036.142276
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- 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
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
- Advocate Lutheran General Hospital
- Osf Little Company of Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142276 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crestwood Associated Medical Center LTD | Current | Accepting new patients | |
| Advanced Pain & Anesthesia Consultants, PC | Pain Medicine | Current | Accepting new patients |
| Advance Pain & Anesthesia Consultants, PC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Orland Park Integrated Health,LTD. | Current | Accepting new patients | |
| Pain Control Associates, LLC | Pain Medicine | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Pain Control Associates LLC | Pain Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Family Medicine Physician
- Crestwood, IL
- NPI 1104341163
-
- Physical Medicine & Rehabilitation Physician
- Orland Park, IL
- NPI 1144766882
-
- Pain Medicine (Anesthesiology) Physician
- Chicago Heights, IL
- NPI 1659318186
-
- Pain Medicine (Anesthesiology) Physician
- Crown Point, IN
- NPI 1457387078
-
- Pain Medicine (Anesthesiology) Physician
- Crown Point, IN
- NPI 1770522179
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1629966106
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.