Todd W Bannen, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

36099334 Issued in IL

Practice address

450 W Highway 22
Barrington, IL 60010-1919

Phone

(847) 842-4488

NPI assigned

Aug 16, 2006

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

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

Emergency Medicine

Education

University of Michigan Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Medical CenterGroup PAC ID 5698771848, 36 clinicians

Tri-County Emergency Physicians LTDGroup PAC ID 2567412240, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291
• Midwest Medical Center Hospital, Galena, IL, CCN 141302

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: midwestmedical@midwestmedicalcenter.cernerdirect.com
• Direct secure messaging: tbannen234433@direct.myadvocateaurora.org

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.

• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Medicare reassignment Care Compare group NPD
• Tri-County Emergency Physicians, LTD

  • Emergency Medicine Physician
  • Barrington, IL
  • NPI 1700810470
  Medicare reassignment Care Compare group NPD
• Crystal Lake Immediate Care Physicians LTD.

  • Emergency Medicine Physician
  • Crystal Lake, IL
  • NPI 1538517198
  Medicare reassignment NPD
• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment NPD
• Midwest Medical Center

  • Rural Health Clinic/Center
  • Elizabeth, IL
  • NPI 1295286045
  NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD (past)
• Advocate North Side Health Network

  dba Advocate Pharmacy #1510

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1114645470
  NPD (past)
• Illinois/Indiana Em-I Medical Services, S.C.

  • Emergency Medicine Physician
  • Blue Island, IL
  • NPI 1710926647
  NPD (past)
• Yates Emergency Physicians

  • Emergency Medicine Physician
  • Anna, IL
  • NPI 1205874336
  NPD (past)

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

• Advocate Health and Hospitals Corporation

  dba Advocate Good Shepherd Hospital

  • General Acute Care Hospital
  • Barrington, IL
  • NPI 1447368071
  Care Compare affiliation
• Midwest Medical Center

  • Clinic/Center
  • Elizabeth, IL
  • NPI 1295126944

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1952414682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 W BALMORAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251005",
            "telephone_number": "773-531-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W HIGHWAY 22",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101919",
            "telephone_number": "847-842-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Galena",
            "state": "IL",
            "postal_code": "610368118",
            "country_code": "US",
            "telephone_number": "815-777-1340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 N Rockton Ave",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611033655",
            "country_code": "US",
            "telephone_number": "815-971-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNEN",
        "first_name": "TODD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36099334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Midwest Medical Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1 Medical Center Dr",
            "city": "Galena",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610368118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbannen234433@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "450 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sohaila Banisaid, COTA
• Danielle Banks
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• Jessica Leigh Barker
• Barrington Al Operations LLC
• Barrington Anesthesia Associates, SC
• Barrington Back & Body, Inc.

• Emergency Medicine Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.