SOFIA TIROVOLAS M.D.
NPI 1437366838
Internal Medicine in Arlington Heights, IL

Q: What is Sofia Tirovolas's NPI number?

The NPI number for Sofia Tirovolas is 1437366838. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Sofia Tirovolas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sofia Tirovolas was last updated on May 11, 2021. 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.

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment

89.66/100

CMS Quality Rating

2101 S ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60005(224) 404-6500(847) 818-0061 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2021, Mar 5, 2020, Aug 26, 2016 (3 updates tracked since 2016).

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About Sofia Tirovolas M.d. NPPES

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

SOFIA TIROVOLAS M.D. (NPI 1437366838) is an individual internal medicine provider in Arlington Heights, Illinois, licensed in Illinois (036126581) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Rush Medical College Of Rush University (2007).

NPPES Registry Identity

NPI1437366838

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSOFIA TIROVOLASCredential: M.D.

Location Address2101 S ARLINGTON HEIGHTS RDArlington Heights, IL 60005

Mailing Address2101 S Arlington Heights RdArlington Heights, IL 60005 · (224) 404-6500 · Fax (847) 818-0061

Phone(224) 404-6500

Fax(847) 818-0061

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2007

Enumeration DateMay 16, 2007

Last NPPES UpdateMay 11, 20213 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1437366838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036126581

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2101 S ARLINGTON HEIGHTS RD, Arlington Heights, IL 60005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Sofia Tirovolas 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 ID3476745480

PECOS Enrollment IDI20101008000882

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 14

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 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.

237 services168 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

197 services197 patients

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.

73 services63 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

40 services40 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

27 services24 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

20 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

18 services18 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services16 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

15 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

14 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140252

Location800 W Central RoadArlington Heights, IL 60005 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

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.

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.

89.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.32

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers32 claims82 services$6.27 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers26 claims34 services$1.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LUIS FERNANDO SORUCO M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2101 S ARLINGTON HEIGHTS RD, 111
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 228-3200

DR. DANIEL DAEYOL SO M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2101 S ARLINGTON HEIGHTS RD, 111
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 228-3200

DR. PAUL MARSIGLIA D.O.

Anesthesiology (Pain Medicine)

2101 S ARLINGTON HEIGHTS RD, SUITE 165
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 593-6800

DR. KEVIN JOSEPH CURTIN D.D.S.

Dentist (General Practice)

2101 S ARLINGTON HEIGHTS RD, SUITE 117
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 357-3899

WILLIAM A MORAN MD

Internal Medicine

2101 S ARLINGTON HEIGHTS RD, SUITE 108
ARLINGTON HEIGHTS, IL 60005

Cook County (224) 404-6500

GAIL SOMMERFELD

Dietitian, Registered

2101 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 228-3200

DR. MARIO HIM MING CHAN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2101 S ARLINGTON HEIGHTS RD, 111
ARLINGTON HEIGHTS, IL 60005

Cook County (847) 228-3200

YU YAN M.D.

Internal Medicine

2101 S ARLINGTON HEIGHTS RD, SUITE 108
ARLINGTON HEIGHTS, IL 60005

Cook County (224) 404-6500

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 Sofia Tirovolas's NPI number?

The NPI number for Sofia Tirovolas is 1437366838. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Sofia Tirovolas located?

Sofia Tirovolas practices at 2101 S Arlington Heights Rd, Arlington Heights, IL 60005. The listed phone number is (224) 404-6500.

What is Sofia Tirovolas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sofia Tirovolas enrolled in Medicare?

Yes. Sofia Tirovolas 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 Sofia Tirovolas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sofia Tirovolas 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 Sofia Tirovolas affiliated with any hospitals?

According to CMS data, Sofia Tirovolas is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Sofia Tirovolas was last updated on May 11, 2021. 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.