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

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: July 19, 2026.

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

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
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

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

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 2024 & 2026 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

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
Quality79.32
Promoting Interoperability100
Improvement Activities40

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.

Specialist
2101 S ARLINGTON HEIGHTS RD, #108
ARLINGTON HEIGHTS, IL 60005
Specialist
2101 S ARLINGTON HEIGHTS RD, #108
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2101 S ARLINGTON HEIGHTS RD, STE. 111
ARLINGTON HEIGHTS, IL 60005
Specialist
2101 S ARLINGTON HEIGHTS RD, SUITE 155
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2101 S ARLINGTON HEIGHTS RD, 111
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2101 S ARLINGTON HEIGHTS RD, 111
ARLINGTON HEIGHTS, IL 60005
Non-Pharmacy Dispensing Site
2101 S ARLINGTON HEIGHTS RD, SUITE 165
ARLINGTON HEIGHTS, IL 60005
Anesthesiology (Pain Medicine)
2101 S ARLINGTON HEIGHTS RD, SUITE 165
ARLINGTON HEIGHTS, IL 60005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437366838, enumerated as an "individual" on May 16, 2007.

The provider is located at 2101 S ARLINGTON HEIGHTS RD ARLINGTON HEIGHTS, IL 60005 and the phone number is (224) 404-6500.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Sofia Tirovolas is affiliated with: NORTHWEST COMMUNITY HOSPITAL 1.