Active NPI
Kurosh Takhtehchian, D.O
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036109557
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (312) 996-4020
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 14, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-109557 | IL | MD | Critical Care Medicine (Anesthesiology) Physician |
| 036109557 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| United Shockwave Services, LTD. | Current | 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 | Current | Accepting new patients |
| Endeavor Health Medical Group | Anesthesiology | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Anesthesiology | Current | 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
- ktakhtehchian17776@uihealth.direct-ci.com
- 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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
Anesthesiology
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Critical Care Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1891913638
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Ambulatory Surgical Clinic/Center
- La Grange, IL
- NPI 1336526219
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1134162894
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
dba University of Illinois Hospital and Clinics
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.