Individual provider Active NPI

Dominic J Tolitano, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Wood Dale, IL
National Provider Identifier
1811959992
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036067328 Issued in IL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00460001OtherILRAIL ROAD MEDICARE
P00118649OtherILRAILROAD MEDICARE
02233112OtherILBCBS PROVIDER ID
780000579OtherILRAILROAD MEDICARE
036067328MedicaidIL
2232802OtherILBCBS PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040203000193 IL Practitioner - Vascular SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - OphthalmologyPractitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 8921991209 Reassigns benefits to 1 organization
I20090501000255 IN Practitioner - Cardiac Surgery 8921991209 Reassigns benefits to 2 organizations

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal711
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067328ILMDVascular Surgery Physician
01063986AINMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration in, LLC Vascular Surgery CurrentSince Jul 1, 2018 Accepting new patients
Center for Vein Restoration in, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 1, 2018 Accepting new patients
Illiana Vascular Centers Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 1, 2022 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

  • Direct secure messaging: dominic.tolitano.p4@direct.cvm-usa.nextgenshare.com
  • Direct secure messaging: dominic.tolitano@mhavai-il.direct.office.nextgen.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.