NPIMap

Individual provider Active NPI

Nader N. Tobia, M.D.

  • Internal Medicine Physician
  • Park Forest, IL
National Provider Identifier
1831175447
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-099159 Issued in IL
Practice address
114 N Orchard Dr
Park Forest, IL 60466-1200
Phone
(708) 283-3384
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-099159 IL Primary

Addresses

Primary practice location

114 N Orchard Dr
Park Forest, IL 60466-1200

Mailing address

9401 S Pulaski Rd
Suite 203
Evergreen Park, IL 60805-1924
Phone (708) 425-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001657 IL Practitioner - Internal Medicine 9133010325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9401 S Pulaski
evergreen park, IL 60805

9401 S Pulaski Rd
Ever Green Park, IL 60805-1926
Phone (708) 425-6225

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Providence at Home Home health agency, Tinley Park, IL, CCN 147559
  • Palos Community Hospital Home Health Care Home health agency, Lemont, IL, CCN 147470
  • Interim Healthcare of Chicago Home health agency, Alsip, IL, CCN 147182
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099159ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services Current Accepting new patients
St Steven Medical Center LTD Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Elisabeth Ludeman Center CurrentSince Dec 1, 2005 Accepting new patients
Illinois Department of Human Services CurrentSince Dec 1, 2005 Accepting new patients
Lexington Physical Therapy PC PastSince Jan 1, 2007 Accepting new patients

Locations

3535 E New York St
Ste 116
Aurora, IL 60504
Phone (312) 647-3628

9401 S Pulaski Rd
Ste 203
Evergreen Pk, IL 60805
Phone (708) 425-6225

4400 W 95th St
Ste 404
Oak Lawn, IL 60453
Phone (708) 425-2345

11824 Southwest Hwy
Ste 110
Palos Heights, IL 60463
Phone (708) 361-8449

100 S Grand Ave E
Springfield, IL 62762

Interoperability endpoints

  • Direct secure messaging: ntobia276247@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1831175447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S PULASKI RD",
            "address_2": "SUITE 203",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051924",
            "telephone_number": "708-425-6225",
            "fax_number": "708-425-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N ORCHARD DR",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661200",
            "telephone_number": "708-283-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIA",
        "first_name": "NADER",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-099159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Forest, IL

Sources for this page

Verify at the official NPI Registry.