DR. TSVETELINA TODOROVA
NPI 1366947079
Internal Medicine - Hematology & Oncology in Oak Lawn, IL

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-8000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2024, Jun 27, 2024, Sep 1, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Tsvetelina Todorova NPPES

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

DR. TSVETELINA TODOROVA (NPI 1366947079) is an individual hematology & oncology provider in Oak Lawn, Illinois, licensed in Illinois (036171707) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2018).

NPPES Registry Identity

NPI1366947079
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. TSVETELINA TODOROVA
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-5450
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateSeptember 9, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1366947079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in IL · 036171707
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4875 (TN)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 4875 (TN)
4440 W 95TH ST, Oak Lawn, IL 60453

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tsvetelina Todorova 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 ID1951658541
PECOS Enrollment IDI20240906001316
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453

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 Tsvetelina Todorova's NPI number?

The NPI number for Tsvetelina Todorova is 1366947079. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Tsvetelina Todorova located?

Tsvetelina Todorova practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-8000.

What is Tsvetelina Todorova's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Tsvetelina Todorova enrolled in Medicare?

Yes. Tsvetelina Todorova 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.

What insurance does Tsvetelina Todorova accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tsvetelina Todorova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tsvetelina Todorova affiliated with any hospitals?

According to CMS data, Tsvetelina Todorova is affiliated with Advocate Trinity Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Tsvetelina Todorova was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.