Yousef Ebeid Tadros, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036124647 Issued in IL

Practice address

1351 Barclay Blvd
Buffalo Grove, IL 60089-4501

Phone

(224) 588-9940

Fax

(224) 588-9941

NPI assigned

Jan 28, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IL, CA3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gopath Pathology Associates, SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo Grove, IL
  • NPI 1700152311
  Medicare reassignment NPD
• Comprehensive Urology Medical Group

  • Specialist
  • Los Angeles, CA
  • NPI 1760406250
  Medicare reassignment NPD
• Path MD Inc

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1124316138
  Medicare reassignment NPD
• Specialized University Pathologists

  • Urology Physician
  • Irvine, CA
  • NPI 1356735989

  TX

  Medicare reassignment
• Emeritus Medical Technology LLC

  dba EmeritusDX

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1336733203
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831376243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894501",
            "telephone_number": "224-588-9940",
            "fax_number": "224-588-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894501",
            "telephone_number": "224-588-9940",
            "fax_number": "224-588-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "YOUSEF",
        "middle_name": "EBEID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N5425",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "061004",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A99330",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036124647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Dental, LTD. (dba Countryside Dental Ltd.)
• Ryan Swanson, DPT
• Ann Swayne
• Symphony Buffalo Grove LLC (Symphony of Buffalo Grove)
• Erwin George Szela Jr., M.D.
• Hiral P Tailor, DPT
• Erynn Jennifer Taitel, M.ED
• Keiko Talim
• Tangled Roots, LLC
• Tania Mikaitis Apn SC

• Anatomic Pathology & Clinical Pathology Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.