Individual provider Active NPI

Jordan Cameron Tasse, M.D.

  • Vascular & Interventional Radiology Physician
  • Maywood, IL
National Provider Identifier
1750538260
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036126736 Issued in IL
Practice address
2160 S 1St Ave
Department of Radiology
Maywood, IL 60153-3328
Phone
(847) 422-3414
NPI assigned
Aug 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036126736 IL Primary
Diagnostic Radiology Physician 2085R0202X 036126736 IL

Addresses

Primary practice location

2160 S 1St Ave
Department of Radiology
Maywood, IL 60153-3328

Mailing address

1455 N Sandburg Ter
#2303
Chicago, IL 60610-1566
Phone (847) 422-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130708000317 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1759521115 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1369 Sunview LN
Winnetka, IL 60093-1624
Phone (847) 637-8711

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 563-4270

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

9200 Calumet Ave
Suite E107
Munster, IN 46321-2885
Phone (219) 806-6585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126736ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Oct 31, 2025 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 17, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Rockford Health Physicians CurrentSince Apr 11, 2016 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Rush University Medical Center Diagnostic Radiology CurrentSince Jan 31, 2020 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Mar 19, 2026 Accepting new patients
Rush University Medical Group Diagnostic Radiology CurrentSince Jan 31, 2020 Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1725 W Harrison St
Ste 456
Chicago, IL 60612
Phone (312) 563-4238

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1725 W Harrison St
Ste 161
Chicago, IL 60612
Phone (312) 942-4252

75 Remittance Dr
Dept 1611
Chicago, IL 60675

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585

Interoperability endpoints

  • Direct secure messaging: jtasse52357@direct.rush.rush-health.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 6

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1750538260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N SANDBURG TER",
            "address_2": "#2303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101566",
            "telephone_number": "847-422-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "847-422-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSE",
        "first_name": "JORDAN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036126736",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036126736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.