Individual provider Active NPI

Tobin R Efferen, M.D.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1780778472
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036115967 Issued in IL
Practice address
1501 S California Ave
Chicago, IL 60608
Phone
(773) 257-6843
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 036115967 IL Primary

Addresses

Primary practice location

1501 S California Ave
Chicago, IL 60608

Mailing address

3537 Paysphere Cir
Chicago, IL 60674
Phone (708) 786-2900

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
I20061031000532 IL Practitioner - Emergency Medicine 8123025392 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone (773) 542-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince May 1, 2015 Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Sinai Community Foundation CurrentSince Jul 1, 2006 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 12, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince May 1, 2015 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jul 1, 2006 Accepting new patients
Community First Healthcare of Illinois, Inc. Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Sep 10, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 12, 2017 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Sep 10, 2017 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

3537 Paysphere Cir
Chicago, IL 60674

5645 W Addison St
Ste 301
Chicago, IL 60634
Phone (773) 736-4553

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

29373 Network Pl
Chicago, IL 60673

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1780778472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "708-786-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-257-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFEREN",
        "first_name": "TOBIN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036115967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.