Tareq Alyousef, M.D
Individual provider Active NPI Cardiovascular Disease Physician · Chicago, IL
NPI 1649406992 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1649406992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036-122717 (IL)
- Practice address
- 1900 W Polk St FL 15
Department of Medicine
Chicago, IL 60612-3723 - Phone
- (312) 714-2694
- NPI assigned
- Jun 1, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 32
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cook County
Practice addresses (Care Compare)
1135 W 69TH St
Chicago, IL 60621-1147
Phone (773) 483-5011
1645 Cottage Grove Ave
Ford Heights, IL 60411-3818
Phone (708) 753-5800
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
3250 N Arlington Heights Rd
Arlington Heights, IL 60004-1563
Phone (847) 934-7969
4800 W Chicago Ave
Chicago, IL 60651-3226
Phone (773) 826-9600
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
5501 W Fullerton Ave
Chicago, IL 60639-1368
Phone (312) 864-0200
Hospital & facility affiliations
- John H Stroger Jr Hospital
- Provident Hospital of Chicago
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
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 |
|---|---|---|---|---|
| I20110316000635 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 6103008826 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036122717 | IL | MD | Internal Medicine Physician |
| 036-122717 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Internal Medicine | Current |
Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Cook County | Current |
Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1900 W Polk St
Fl 15
Chicago, IL 60612
Phone (312) 504-3250
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
Interoperability endpoints
- talyousef@direct.ccprovider.org
- talyousef12145@direct.rush.rush-health.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036122717 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036-122717 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036-122717 | IL | Yes |
Addresses
Primary practice location
1900 W Polk St FL 15
Department of Medicine
Chicago, IL 60612-3723
Mailing address
1900 W Polk St FL 15
Department of Medicine
Chicago, IL 60612-3723
Phone (312) 714-2694
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | talyousef@direct.ccprovider.org | Direct | Cook County |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 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.