NPIMap

Individual provider Active NPI

Meechai Tessalee, M.D.

  • Interventional Cardiology Physician
  • Hinsdale, IL
National Provider Identifier
1841295193
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036-094863 Issued in IL
Practice address
11 Salt Creek LN
Hinsdale, IL 60521-2990
Phone
(630) 789-3422
Fax
(630) 789-9093
NPI assigned
Jun 14, 2005
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036094863 IL
Interventional Cardiology Physician 207RI0011X 036-094863 IL Primary

Addresses

Primary practice location

11 Salt Creek LN
Hinsdale, IL 60521-2990

Mailing address

900 S Frontage Rd
Suite 325
Woodridge, IL 60517-4903
Phone (630) 789-3422

Other identifiers 4

IdentifierTypeStateIssuer
F400230826OtherILMEDICARE - LOCALITY 16
036094863MedicaidIL
1912218850OtherILNPI GROUP PRACTICE
F400230828OtherILMEDICARE - LOCALITY 15

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
I20090609000410 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9436258886 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Rush Medical College of Rush University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

2363 63Rd St
Woodridge, IL 60517-1300
Phone (630) 789-3422

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 499-4750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

908 N Elm St
Suite 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-094863ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Du Page Pathology Associates SC Current Accepting new patients
Adventist Bolingbrook Hospital CurrentSince Jan 17, 2008 Accepting new patients
Adventist Midwest Health CurrentSince Aug 1, 2001 Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2001 Accepting new patients
Adventist Midwest Health CurrentSince Jun 28, 2016 Accepting new patients
Adventist Bolingbrook Hospital Cardiovascular Disease CurrentSince Jan 17, 2008 Accepting new patients
Adventist Midwest Health CurrentSince Jan 1, 2001 Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Aug 1, 2001 Accepting new patients
Adventist Health Partners, Inc Cardiovascular Disease CurrentSince Aug 1, 2015 Accepting new patients
Adventist Midwest Health Cardiovascular Disease CurrentSince Jun 28, 2016 Accepting new patients
Adventist Midwest Health Cardiovascular Disease Current Accepting new patients
Suburban Cardiologists, S.C. PastSince Jul 1, 2003 Accepting new patients
West Suburban Cardiologists, LTD. Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates, S.C. Cardiovascular Disease Past Accepting new patients
University of Chicago Past Accepting new patients
Adventist Health Partners, Inc Past Accepting new patients

Locations

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

16955 Collection Ctr Dr
Chicago, IL 60693

16955 Collections Ctr Dr
Chicago, IL 60693

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

11 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 789-3110

333 W Chestnut St
Ste 101
Hinsdale, IL 60521
Phone (630) 325-9010

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2434 Wolf Rd
Westchester, IL 60154
Phone (630) 856-6800

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: mtessalee1240583@adventhealth.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 9

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1841295193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S FRONTAGE RD",
            "address_2": "SUITE 325",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605174903",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212990",
            "telephone_number": "630-789-3422",
            "fax_number": "630-789-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSALEE",
        "first_name": "MEECHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036094863",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-094863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - LOCALITY 16",
            "identifier": "F400230826",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094863",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP PRACTICE",
            "identifier": "1912218850",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - LOCALITY 15",
            "identifier": "F400230828",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.