Individual provider Active NPI

Adriana Tobar, MD

  • Family Medicine Physician
  • Elkhorn, WI
National Provider Identifier
1609821826
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53420-020 Issued in WI
Practice address
201 E Morrissy Dr
Elkhorn, WI 53121-4395
Phone
(262) 741-1900
NPI assigned
May 24, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-115942 IL
Family Medicine Physician 207Q00000X 53420-020 WI Primary

Addresses

Primary practice location

201 E Morrissy Dr
Elkhorn, WI 53121-4395

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

3505 N Bell School Rd
Rockford, IL 61114-6624
Phone (779) 696-0300

Other practice location 2

3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000

Other practice location 3

360 Station Dr Ste 300A
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

Other identifiers 3

IdentifierTypeStateIssuer
82888900MedicaidWI
1609821826MedicaidWI
60974OtherWIDEAN HEALTH INSURANCE

Other names 1

  • Adriana Tobar Taylor Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address atobarmd913490@direct.uwhealth.org
Direct Messaging Address atobar412235@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, WI2 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
I20060830000229 IL Practitioner - Family Practice 1658375829 Reassigns benefits to 1 organization
I20091103000655 WI Practitioner - Family Practice 1658375829 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115942ILMDFamily Medicine Physician
53420-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Family Medicine CurrentSince Aug 11, 2006 Accepting new patients
Lakeshore Medical Clinic, LLC Family Medicine CurrentSince Sep 21, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 11, 2006 Accepting new patients
Vedic Roots Integrative Medicine Inc CurrentSince Jul 7, 2026 Accepting new patients
Aurora Advanced Healthcare, Inc. Family Medicine CurrentSince Sep 21, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 21, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Aurora Medical Group, Inc. Family Medicine CurrentSince Sep 21, 2024 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Sep 21, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine Past Accepting new patients

Locations

2170 Pearl St
Belvidere, IL 61008
Phone (815) 395-5886

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

405 Charles St
Mount Morris, IL 61054
Phone (815) 395-5860

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

4753 Manhattan Dr
Lowr
Rockford, IL 61108

1511 N Blackhawk Blvd
Rockton, IL 61072
Phone (815) 395-5879

201 E Morrissy Dr
Elkhorn, WI 53121
Phone (262) 723-3100

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: atobar412235@direct.myadvocateaurora.org
  • Direct secure messaging: atobarmd913490@direct.uwhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1609821826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MORRISSY DR",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214395",
            "telephone_number": "262-741-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 N Bell School Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611146624",
            "country_code": "US",
            "telephone_number": "779-696-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 E Racine St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535462343",
            "country_code": "US",
            "telephone_number": "608-371-8000",
            "fax_number": "608-371-8938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Station Dr Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600147978",
            "country_code": "US",
            "telephone_number": "815-788-7500",
            "fax_number": "815-455-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBAR",
        "first_name": "ADRIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-115942",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "53420-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82888900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609821826",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH INSURANCE",
            "identifier": "60974",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atobarmd913490@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "3505 N Bell School Rd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611146624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atobar412235@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 E Morrissy Dr",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214395",
            "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": "201 E Morrissy Dr",
            "city": "Elkhorn",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531214395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "TOBAR TAYLOR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.