Active NPI
Dominic J Tolitano, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wood Dale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036067328
- Practice address
- 311 N Walnut Ave
Ste 100
Wood Dale, IL 60191 - Phone
- (630) 860-0035
- Fax
- (630) 860-5262
- NPI assigned
- Apr 4, 2006
- Last updated
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 036067328 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036067328 | IL | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01063986A | IN |
Addresses
Primary practice location
311 N Walnut Ave
Ste 100
Wood Dale, IL 60191
Mailing address
777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550
Other practice location 1
9339 Calumet Ave Ste D
Munster, IN 46321-2822
Phone (301) 486-4690
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00460001 | Other | IL | RAIL ROAD MEDICARE |
| P00118649 | Other | IL | RAILROAD MEDICARE |
| 02233112 | Other | IL | BCBS PROVIDER ID |
| 780000579 | Other | IL | RAILROAD MEDICARE |
| 036067328 | Medicaid | IL | |
| 2232802 | Other | IL | BCBS PROVIDER ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Chicago College of Medicine and Surgery, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 S Raceway Rd
Suite 135
Indianapolis, IN 46231-1417
Phone (855) 830-8346
1445 S Lake Park Ave
Hobart, IN 46342-6635
Phone (855) 830-8346
236 E Irving Park Rd
Wood Dale, IL 60191-2099
Phone (855) 830-8346
33 E County Line Rd
Suite D
Greenwood, IN 46143-1078
Phone (855) 830-8346
9305 Calumet Ave
Suite E2
Munster, IN 46321-2888
Phone (219) 289-8147
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 711 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067328 | IL | MD | Vascular Surgery Physician |
| 01063986A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Vein Restoration in, LLC | Vascular Surgery | Current | Accepting new patients |
| Center for Vein Restoration in, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Illiana Vascular Centers Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Metro Chicago Cardiothoracic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Chicago Heart Institute, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Medical Specialists LTD | Past | Accepting new patients | |
| Franciscan Physician Network | Past | Accepting new patients |
Locations
236 E Irving Park Rd
Wood Dale, IL 60191
Phone (301) 982-2000
6540 Logan Dr
Ste 2
Evansville, IN 47715
Phone (812) 474-1400
7230 Engle Rd
Ste 101
Fort Wayne, IN 46804
Phone (219) 436-8636
33 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 644-6355
1445 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-7100
105 S Raceway Rd
Ste 135
Indianapolis, IN 46231
Phone (317) 203-7970
141 Quartermaster Ct
Jeffersonvlle, IN 47130
9305 Calumet Ave
Ste E2
Munster, IN 46321
Phone (219) 289-8147
9410 Calumet Ave
Ste 202
Munster, IN 46321
Interoperability endpoints
- dominic.tolitano.p4@direct.cvm-usa.nextgenshare.com
- dominic.tolitano@mhavai-il.direct.office.nextgen.com
- dominic.tolitanomd.p3@direct.cvr.nextgenshare.com
Organizations & group practices 11
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wood Dale, IL
- NPI 1811626344
IN
-
- Vascular Surgery Physician
- Greenwood, IN
- NPI 1629437397
-
- Emergency Medicine Physician
- Downers Grove, IL
- NPI 1588156541
-
dba Suburban Cardiovascular Surgery Associates
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wood Dale, IL
- NPI 1881783199
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wood Dale, IL
- NPI 1861724049
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wood Dale, IL
- NPI 1902995210
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hobart, IN
- NPI 1790653897
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elk Grove Village, IL
- NPI 1295773117
-
- Rheumatology Physician
- Hoffman Estates, IL
- NPI 1326090499
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Elk Grove Village, IL
- NPI 1144231044
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1811959992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 OAKMONT LN",
"address_2": "SUITE 1600",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595511",
"telephone_number": "630-789-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N WALNUT AVE",
"address_2": "STE 100",
"city": "WOOD DALE",
"state": "IL",
"postal_code": "60191",
"telephone_number": "630-860-0035",
"fax_number": "630-860-5262"
}
],
"practiceLocations": [
{
"address_1": "9339 Calumet Ave Ste D",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463212822",
"country_code": "US",
"telephone_number": "301-486-4690",
"fax_number": "301-441-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLITANO",
"first_name": "DOMINIC",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036067328",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036067328",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01063986A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00460001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00118649",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "02233112",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "780000579",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067328",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "2232802",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wood Dale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.