Tara Atta, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Vernon Hills, IL
NPI 1639166374 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1639166374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036112076 (IL)
- Practice address
- 225 N Milwaukee Ave
Vernon Hills, IL 60061-4304 - Phone
- (847) 444-5300
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Boston University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
- Northwestern Lake Forest Hospital
- Swedish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041112000888 | IL | Practitioner - Cardiovascular Disease (Cardiology) |
0749244473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036112076 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Jordan Physician Associates, Inc. | Past | Accepting new patients | |
| Jordan Physician Associates, Inc. | Past | Accepting new patients | |
| Rockford Cardiology Associates, LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 941-7600
Interoperability endpoints
- tatta262830@direct.northshore.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036112076 | IL | Yes |
Addresses
Primary practice location
225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Mailing address
225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 444-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10115504 | Other | IL | BLUE CROSS |
| CB0709 | Other | GA | RRMEDICARE |
| P00461924 | Other | GA | RRMEDICARE |
| 036112076 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tatta262830@direct.northshore.org |
Other providers in Vernon Hills, IL
- Abrar Arshad
- Arvind J Madhani MD PC
- Fatma Saleh Assef
- Associates in Pain Management, Inc
- Athletico, LTD
- Stephanie Marie Aubuchon
- Crystal Ayala
- Elizabeth Ayers
- Teresa Bae
- Charles J Bagdade
All providers in Vernon Hills, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.