AUDREY LYNN TANKSLEY MD
NPI 1750524518
Internal Medicine in Evergreen Park, IL

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
9449 S KEDZIE AVE, EVERGREEN PARK, IL 60805(833) 367-6699(847) 631-5607 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Audrey Lynn Tanksley Md NPPES

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

AUDREY LYNN TANKSLEY MD (NPI 1750524518) is an individual internal medicine provider in Evergreen Park, Illinois, licensed in Illinois (036-131059) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2009).

NPPES Registry Identity

NPI1750524518
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAUDREY LYNN TANKSLEYCredential: MD
Location Address9449 S KEDZIE AVEEvergreen Park, IL 60805-2325
Mailing Address9449 S Kedzie AveEvergreen Park, IL 60805-2325 · (224) 955-8069
Fax(847) 631-5607
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2009
Enumeration DateApril 9, 2009
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1750524518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036-131059
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.

9449 S KEDZIE AVE, Evergreen Park, IL 60805

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

Audrey Lynn Tanksley Md 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 ID8123277431
PECOS Enrollment IDI20121002000288
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
46 services18 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
24 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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.

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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims5,863 services$0.29 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 8

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

Home Health
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Specialist
9449 S KEDZIE AVE, SUITE 212
EVERGREEN PARK, IL 60805
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Social Worker (Clinical)
9449 S KEDZIE AVE, STE 142
EVERGREEN PARK, IL 60805
Durable Medical Equipment & Medical Supplies
9449 S KEDZIE AVE, SUITE 213
EVERGREEN PARK, IL 60805
Pharmacist
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Family Medicine
9449 S KEDZIE AVE
EVERGREEN PARK, IL 60805
Clinic/Center (Adult Mental Health)
9449 S KEDZIE AVE, SUITE 142
EVERGREEN PK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750524518, enumerated as an "individual" on April 09, 2009.

The provider is located at 9449 S KEDZIE AVE EVERGREEN PARK, IL 60805 and the phone number is (833) 367-6699.

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.