NPIMap

Individual provider Active NPI

Tareq Alyousef, M.D

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1649406992
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036-122717 Issued in 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
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036122717 IL
Interventional Cardiology Physician 207RI0011X 036-122717 IL
Cardiovascular Disease Physician 207RC0000X 036-122717 IL Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address talyousef@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000635 IL Practitioner - Cardiovascular Disease (Cardiology) 6103008826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-122717ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County Internal Medicine CurrentSince Oct 20, 2015 Accepting new patients
Cook County CurrentSince Oct 20, 2015 Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

1900 W Polk St
Fl 15
Chicago, IL 60612
Phone (312) 714-2694

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

Interoperability endpoints

  • Direct secure messaging: talyousef@direct.ccprovider.org
  • Direct secure messaging: talyousef12145@direct.rush.rush-health.com

Organizations & group practices 4

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 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1649406992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST FL 15",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-714-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST FL 15",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-714-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYOUSEF",
        "first_name": "TAREQ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036122717",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-122717",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-122717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talyousef@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.