Individual provider Active NPI

Kurosh Takhtehchian, D.O

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1629271853
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036109557 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(312) 996-4020
NPI assigned
Jun 6, 2007
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 036109557 IL
Anesthesiology Physician 207L00000X 036109557 IL Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 036-109557 IL
Internal Medicine Physician 207R00000X 036109557 IL

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

1740 W Taylor St Ste 3200
Chicago, IL 60612-7232
Phone (312) 996-4020

Other practice location 1

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-7003

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ktakhtehchian250871@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
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000127 IL Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 4587751458 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Midwestern University, Chicago College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1740 W Taylor St
Chicago, IL 60612-7232

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109557ILMDCritical Care Medicine (Anesthesiology) Physician
036109557ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 1, 2024 Accepting new patients
Midwest Anesthesia Partners, LLC Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Endeavor Health Medical Group Anesthesiology CurrentSince Nov 9, 2023 Accepting new patients
United Shockwave Services, LTD. CurrentSince Feb 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
United Shockwave Services, LTD. Anesthesiology CurrentSince Feb 1, 2016 Accepting new patients
Endeavor Health Medical Group Anesthesiology Current Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2024 Accepting new patients
Board of Trustees of the University of Illinois Anesthesiology CurrentSince Jun 23, 2019 Accepting new patients
Merit Lincoln Park, LLC Anesthesiology Past Accepting new patients

Locations

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

1740 W Taylor St
Ste 3200
Chicago, IL 60612
Phone (312) 996-4020

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

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

9532 Eagle Way
Chicago, IL 60678

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1900 Hollister Dr
Ste 100
Libertyville, IL 60048
Phone (847) 367-8100

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

2300 N Rockton Ave
Rockford, IL 61103

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

Interoperability endpoints

  • Direct secure messaging: ktakhtehchian17776@uihealth.direct-ci.com
  • Direct secure messaging: ktakhtehchian250871@direct.myadvocateaurora.org

Organizations & group practices 12

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 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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1629271853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST STE 3200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKHTEHCHIAN",
        "first_name": "KUROSH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "036109557",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036109557",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IL",
            "license": "036-109557",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036109557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktakhtehchian250871@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "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": "1775 Dempster St",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.