Active NPI
Tina Taube, M.D.
- Neonatal-Perinatal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036.127791
- Practice address
- 836 W Wellington Ave
3604
Chicago, IL 60657-5147 - Phone
- (314) 799-5025
- NPI assigned
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.054721 | IL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | DR.0065838 | CO | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036.127791 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
3604
Chicago, IL 60657-5147
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
1801 16th St
Greeley, CO 80631-5154
Phone (314) 799-5025
Other names 1
- Tina Mathai
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | ttaube242474@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.054721 | IL | MD | Pediatrics Physician |
| DR.0065838 | CO | MD | Neonatal-Perinatal Medicine Physician |
| 036.127791 | IL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
836 W Wellington Ave
#3604
Chicago, IL 60657
Phone (314) 799-5025
29373 Network Pl
Chicago, IL 60673
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
Interoperability endpoints
- ttaube242474@direct.myadvocateaurora.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1740436229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"address_2": "3604",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "314-799-5025"
}
],
"practiceLocations": [
{
"address_1": "1801 16th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806315154",
"country_code": "US",
"telephone_number": "314-799-5025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAUBE",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.054721",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CO",
"license": "DR.0065838",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036.127791",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "836 W Wellington Ave",
"address_2": "3604",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606575147",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttaube242474@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "836 W Wellington Ave",
"address_2": "3604",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606575147",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TINA",
"last_name": "MATHAI",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 May 12, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.