Active NPI
Tama Porter, MD
- Endocrinology, Diabetes & Metabolism Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036125840
- Practice address
- 9977 Woods Dr
Skokie, IL 60077-1057 - Phone
- (847) 663-8540
- NPI assigned
- Oct 23, 2007
- Last updated
- Jul 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036125840 | IL | Primary |
Addresses
Primary practice location
9977 Woods Dr
Skokie, IL 60077-1057
Mailing address
9977 Woods Dr
Skokie, IL 60077-1057
Phone (847) 663-8540
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1620 W Harrison St
Chicago, IL 60612-3801
1653 W Congress Pkwy
Chicago, IL 60612-3833
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Chicago, IL 60612-3861
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 250
Chicago, IL 60612
Phone (312) 942-6163
75 Remittance Dr
Dept 1611
Chicago, IL 60675
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540
Interoperability endpoints
- tporter144381@direct.rush.rush-health.com
Organizations & group practices 3
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.
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1801085055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9977 WOODS DR",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771057",
"telephone_number": "847-663-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9977 WOODS DR",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771057",
"telephone_number": "847-663-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "TAMA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036125840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.