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DR. NOOR TAZUDEEN M.D.
NPI 1366857286
Dermatology in Chicago, IL

Active since June 30, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4700 N MARINE DR STE 220, CHICAGO, IL 60640(608) 287-2658 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2020, Oct 16, 2018 (2 updates tracked since 2018).

About Dr. Noor Tazudeen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NOOR TAZUDEEN M.D. (NPI 1366857286) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036.146214) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366857286
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. NOOR TAZUDEENCredential: M.D.
Location Address4700 N MARINE DR STE 220Chicago, IL 60640-7972
Mailing Address4700 N Marine Dr Ste 220Chicago, IL 60640-7972 · (608) 287-2658 · Fax (773) 334-3399
Phone(608) 287-2658
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1366857286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in IL · 036.146214✔ Licensed in IN · 01084857A✔ Licensed in WI · 5930-851
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125065910 (IL)
4700 N MARINE DR STE 220, Chicago, IL 60640
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Noor Tazudeen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355661653
PECOS Enrollment IDI20180831001952
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Noor Tazudeen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cook County
6.6 mi
Multi-Specialty
2020 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
NPI 1861513996 (312) 864-4665
University Dermatology And Vein Clinic LLC
23 mi
Dermatology
8110 CASS AVE
Darien, IL 60561
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1194270637 (773) 351-2862

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.75
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Noor Tazudeen's NPI number?

The NPI number for Noor Tazudeen is 1366857286. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Noor Tazudeen located?

Noor Tazudeen practices at 4700 N Marine Dr Ste 220, Chicago, IL 60640. The listed phone number is (608) 287-2658.

What is Noor Tazudeen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Noor Tazudeen enrolled in Medicare?

Yes. Noor Tazudeen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Noor Tazudeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noor Tazudeen reassigns Medicare benefits to 2 organizations: Cook County (Chicago, IL) and University Dermatology And Vein Clinic LLC (Darien, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Noor Tazudeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Noor Tazudeen affiliated with any hospitals?

According to CMS data, Noor Tazudeen is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Noor Tazudeen was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.