Individual provider Active NPI

Aras D Tijunelis, M.D.,

  • Plastic Surgery Physician
  • Libertyville, IL
National Provider Identifier
1932133451
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036-102115 Issued in IL
Practice address
1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341
Phone
(847) 968-2401
Fax
(847) 968-2402
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X H26809 IL
Plastic Surgery Physician 208200000X 04926463 IL
Plastic Surgery Physician 208200000X 599090 IL
Plastic Surgery Physician 208200000X 036-102115 IL Primary

Addresses

Primary practice location

1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341

Mailing address

1880 W Winchester Rd
Suite 107
Libertyville, IL 60048-5341
Phone (847) 968-2401

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://picfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct Advocate Aurora Healthcare

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000306 IL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Physical Medicine and RehabilitationPractitioner - Hand Surgery 2961402409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-102115ILMDPlastic Surgery Physician
04926463ILMDPlastic Surgery Physician
599090ILMDPlastic Surgery Physician
H26809ILMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aras D. Tijunelis M.D., S.C Plastic Surgery CurrentSince Oct 24, 2006 Accepting new patients

Locations

1880 W Winchester Rd
Ste 107
Libertyville, IL 60048
Phone (847) 234-1177

Interoperability endpoints

  • Direct secure messaging: atijunelis234552@direct.myadvocateaurora.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1932133451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "847-968-2401",
            "fax_number": "847-968-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 107",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "847-968-2401",
            "fax_number": "847-968-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJUNELIS",
        "first_name": "ARAS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "H26809",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "04926463",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "599090",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-102115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://picfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "atijunelis234552@direct.myadvocateaurora.org",
            "affiliationName": "Advocate Aurora Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TIJUNELIS, ARAS",
            "address_1": "1880 W Winchester Rd",
            "address_2": "Suite 107",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.