Individual provider Active NPI

Nataniel Tecpatl Vasquez, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1720379068
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.127450 Issued in IL
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-2118
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036.127450 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

114 Franklin St
Apt 3B-1
Morristown, NJ 07960-5506
Phone (347) 628-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140828000985 MA Practitioner - Emergency Medicine 9739366949 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians
Cape Cod Emergency Associates LLPGroup PAC ID 5597135301, 35 clinicians

Practice addresses (Care Compare)

2 Jan Sebastian Dr
Suite 101
Sandwich, MA 02563-2377
Phone (508) 833-2639

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.127450ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Dec 12, 2017 Accepting new patients
Emergency Physicians of Falmouth Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cape Cod Emergency Associates LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Jun 15, 2014 Accepting new patients
Urgi Center Medical Group CurrentSince Apr 1, 2018 Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Jun 15, 2014 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Dec 12, 2017 Accepting new patients
Epmg of Illinois LLC Emergency Medicine Past Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

43 High St
Wareham, MA 02571
Phone (508) 273-4200

Organizations & group practices 9

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 1

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1720379068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FRANKLIN ST",
            "address_2": "APT 3B-1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605506",
            "telephone_number": "347-628-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "NATANIEL",
        "middle_name": "TECPATL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.127450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.