RALPH TAMURA MD
NPI 1861418691
Obstetrics & Gynecology - Maternal & Fetal Medicine in Chicago, IL


Quality Rating: 31.16 out of 100 score

NPI Status: Active since July 14, 2006

Contact Information

680 N LAKE SHORE DR
680 N. LAKESHORE DRIVE
CHICAGO, IL
ZIP 60611
Phone: (312) 695-9797

Get Directions Write a Review

  • Individual
  • Male
  • Obstetrics & Gynecology
  • Maternal & Fetal Medicine

About RALPH TAMURA

This page provides the complete NPI Profile along with additional information for Ralph Tamura, a women's health care provider established in Chicago, Illinois with a medical specialization in Obstetrics & Gynecology, focusing in maternal & fetal medicine . The healthcare provider is registered in the NPI registry with number 1861418691 assigned on July 2006. The practitioner's primary taxonomy code is 207VM0101X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1861418691
Provider Name
RALPH TAMURA MD
Gender
Male
Entity Type
Individual
Location Address
680 N LAKE SHORE DR 680 N. LAKESHORE DRIVE CHICAGO, IL 60611
Location Phone
(312) 695-9797
Mailing Address
680 N LAKE SHORE DR 680 N. LAKESHORE DRIVE CHICAGO, IL 60611
Mailing Phone
(312) 695-9797
Is Sole Proprietor?
No
Enumeration Date
07-14-2006
Last Update Date
07-08-2007
Code Navigator

Women's health care providers like Ralph Tamura treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Maternal & Fetal Medicine

Taxonomy Code
207VM0101X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D14491MEDICARE UPIN (02) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complete ultrasound scan of pelvis

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

This service was performed 36 times for 36 patients

Complete ultrasound scan of pelvis

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

This service was performed 30 times for 30 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

This service was performed 33 times for 33 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

This service was performed 51 times for 50 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 31.16, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 31.16 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 18.99

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 0

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 20

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 59.89

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 59.89

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for RALPH TAMURA MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861418691, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 1 + 1 + 6 + 6 + 1 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1861418691.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 118
CHICAGO, IL 60611
Psychologist (Clinical)
680 N LAKE SHORE DR, STE 304
CHICAGO, IL 60611
Durable Medical Equipment & Medical Supplies
680 N LAKE SHORE DR, SUITE 1207
CHICAGO, IL 60611
Anesthesiology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Transplant Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Nephrology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Cardiovascular Disease)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Audiologist
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Otolaryngology (Facial Plastic Surgery)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Anesthesiology (Critical Care Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Nuclear Medicine
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Dentist (Oral and Maxillofacial Pathology)
680 N LAKE SHORE DR, NORTHWESTERN MEDICAL FACULTY FOUNDATION
CHICAGO, IL 60611
Specialist
680 N LAKE SHORE DR, SUITE 824
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Nurse Practitioner (Family)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Otolaryngology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861418691, enumerated as an "individual" on July 14, 2006.

The provider is located at 680 N LAKE SHORE DR 680 N. LAKESHORE DRIVE CHICAGO, IL 60611 and the phone number is (312) 695-9797.

Obstetrics & Gynecology with taxonomy code 207VM0101X and a focus in Maternal & Fetal Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.