Active NPI
Donald Tanis, M.D.
- Adult Congenital Heart Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Congenital Heart Disease Physician
- License
- 036083772
- Practice address
- 1725 W Harrison St
Suite 1159
Chicago, IL 60612-3841 - Phone
- (312) 942-5020
- Fax
- (312) 942-4039
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036-083772 | IL | |
| Adult Congenital Heart Disease Physician | 207RA0002X | 036083772 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 1159
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Suite 1159
Chicago, IL 60612-3841
Phone (312) 942-5020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtanis234628@direct.luhs.org | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100420001031 | IL | Practitioner - Interventional Cardiology | 9234266479 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Loyola University Medical Center
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
Hospital & facility affiliations
- Loyola Gottlieb Memorial Hospital
- Loyola University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-083772 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Rush University Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
75 Remittance Dr
Dept 1611
Chicago, IL 60675
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
701 W North Ave
Ste 201
Melrose Park, IL 60160
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
2 Westbrook Corporate Ctr
Ste 600
Westchester, IL 60154
Phone (708) 216-5092
Interoperability endpoints
- donald.tanis.1@3547.direct.athenahealth.com
- dtanis5918@direct.rush.rush-health.com
Organizations & group practices 9
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.
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Maywood, IL
- NPI 1063504165
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1104462126
-
- Home Infusion Therapy Pharmacy
- Hickory Hills, IL
- NPI 1386785152
-
- Durable Medical Equipment & Medical Supplies
- Maywood, IL
- NPI 1912042029
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
Cardiovascular Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1902822158",
"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": "606123841",
"telephone_number": "312-942-5020",
"fax_number": "312-942-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 1159",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-5020",
"fax_number": "312-942-4039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIS",
"first_name": "DONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-083772",
"primary": false
},
{
"code": "207RA0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adult Congenital Heart Disease",
"state": "IL",
"license": "036083772",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtanis234628@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1725 W Harrison St",
"address_2": "Suite 1159",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123841",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.