Tisha Marie Borromeo Suboc, M.D.

Primary specialty

Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X

License

036-135917 Issued in IL

Practice address

1725 W Harrison St Ste 1159
Chicago, IL 60612-3883

Phone

(312) 942-5020

NPI assigned

Apr 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rush University Medical Center Hospital, Chicago, IL, CCN 140119
• Rush Oak Park Hospital Hospital, Oak Park, IL, CCN 140063
• John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tsuboc138363@direct.rush.rush-health.com

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.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542
  Medicare reassignment Care Compare group NPD
• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment NPD
• Cook County

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1821385170
  NPD
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cook County

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1093283533

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • North Riverside, IL
  • NPI 1295366466

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Phoenix, IL
  • NPI 1336269133

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1366073355

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1386110674

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1396865077

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Ford Heights, IL
  • NPI 1427689413

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Oak Forest, IL
  • NPI 1457982340

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1457982449

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1871736413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W. HARRISON ST.",
            "address_2": "SUITE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 1159",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123883",
            "telephone_number": "312-942-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBOC",
        "first_name": "TISHA MARIE",
        "middle_name": "BORROMEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-139517",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036-135917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tisha.suboc@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Siddarth Subramanian
• Tejas Subramanian

• Advanced Heart Failure and Transplant Cardiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Advanced Heart Failure and Transplant Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.

Verify at the official NPI Registry.