Active NPI
Tadanori Tomita, MD
- Neurological Surgery Physician
- Chicago, IL
National Provider Identifier
1962498394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 036061591
- Practice address
- 2300 N Childrens PLZ
Chicago, IL 60614-3363 - Phone
- (773) 880-4000
- Fax
- (773) 281-1576
- NPI assigned
- Sep 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 036061591 | IL | Primary |
Addresses
Primary practice location
2300 N Childrens PLZ
Chicago, IL 60614-3363
Mailing address
35422 Eagle Way
Chicago, IL 60678-0001
Phone (773) 880-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0563684 | Medicaid | IA | |
| 8023632 | Medicaid | WA | |
| 036061591 | Medicaid | IL | |
| 1627123 | Other | IL | BCBS PROVIDER ID |
| 7618592 | Other | IL | GHI PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSF Medical Specialists, LLC. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Chicago, IL
- NPI 1114152741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1962498394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35422 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606780001",
"telephone_number": "773-880-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N CHILDRENS PLZ",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606143363",
"telephone_number": "773-880-4000",
"fax_number": "773-281-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMITA",
"first_name": "TADANORI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IL",
"license": "036061591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0563684",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8023632",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061591",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "1627123",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER ID",
"identifier": "7618592",
"state": "IL"
}
],
"endpoints": [],
"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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.