Individual provider Active NPI

Tayfun M Ozgen, MD

  • Family Medicine Physician
  • Bolingbrook, IL
National Provider Identifier
1780671818
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036081646 Issued in IL
Practice address
130 N Weber Rd
Ste 112
Bolingbrook, IL 60440-1519
Phone
(630) 378-3400
Fax
(630) 378-3449
NPI assigned
Oct 4, 2005
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036081646 IL Primary

Addresses

Primary practice location

130 N Weber Rd
Ste 112
Bolingbrook, IL 60440-1519

Mailing address

130 N Weber Rd Ste 100
Bolingbrook, IL 60440-1519
Phone (630) 646-5777

Other identifiers 2

IdentifierTypeStateIssuer
9919630OtherILBCBS
036081646 1MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tozgen15304@direct.edward.org

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
I20100511001032 IL Practitioner - Family Practice 3274661392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1220 Hobson Rd
Suite 104
Naperville, IL 60540-8137
Phone (630) 416-1950

130 N Weber Rd
Suite 100
Bolingbrook, IL 60440-1519
Phone (630) 646-5777

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Edward Health Ventures CurrentSince Apr 1, 1996 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Edward Health Ventures CurrentSince Apr 1, 1996 Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

130 N Weber Rd
Ste 100
Bolingbrook, IL 60440
Phone (630) 232-7300

130 N Weber Rd
Ste 112
Bolingbrook, IL 60440
Phone (630) 378-3400

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Organizations & group practices 8

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 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1780671818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N WEBER RD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401519",
            "telephone_number": "630-646-5777",
            "fax_number": "630-646-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N WEBER RD",
            "address_2": "STE 112",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401519",
            "telephone_number": "630-378-3400",
            "fax_number": "630-378-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZGEN",
        "first_name": "TAYFUN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9919630",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081646 1",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tozgen15304@direct.edward.org",
            "affiliation": "N",
            "address_1": "130 N Weber Rd",
            "address_2": "Ste 112",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.