TPA NETWORK INCORPORATED
NPI 1912752569
Family Medicine in Chicago, IL

NPI Status: Active since April 18, 2024

Contact Information

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 989-9400
Fax: (773) 989-9494

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  • Organization
  • Family Medicine
  • Accepts Insurance

About TPA NETWORK INCORPORATED

This page provides the complete NPI Profile along with additional information for Tpa Network Incorporated, a primary care provider established in Chicago, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1912752569 assigned on April 2024. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tpa Network Incorporated operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tanya Mauldin (Provider Enrollment Manager)

NPI
1912752569
Provider Name
TPA NETWORK INCORPORATED
Entity Type
Organization
Location Address
5537 N BROADWAY ST CHICAGO, IL 60640
Location Phone
(773) 989-9400
Location Fax
(773) 989-9494
Mailing Address
PO BOX 18440 PALATINE, IL 60055
Mailing Phone
(773) 989-9400
Mailing Fax
(773) 989-9494
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2024
Last Update Date
04-18-2024
Code Navigator

A primary care provider (PCP) like Tpa Network Incorporated sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1020 W Lawrence Ave Ste 300
    Chicago, IL 60640
    (773) 989-9400

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TANYA MAULDIN

Authorized Official Title
PROVIDER ENROLLMENT MANAGER
Authorized Official Phone
(414) 225-1611

Reviews for TPA NETWORK INCORPORATED

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912752569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29221454512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 4 + 5 + 4 + 5 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1912752569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

ACCESS COMMUNITY HEALTH NETWORK

Clinic/Center

(Federally Qualified Health Center (FQHC))

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 271-1439

JULIE A SUPPLE LCSW

Social Worker

(Clinical)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

CHARLOTTE J MOORE LCPC, CADC

Counselor

(Professional)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

PAUL K WIEMERSLAGE LCSW

Social Worker

(Clinical)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

THOMAS F HOLLER LPC, CADC

Counselor

(Professional)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

MS. DAYNA L FLORES LPC

Counselor

(Professional)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

HOWARD BROWN HEALTH CENTER

Clinic/Center

(Federally Qualified Health Center (FQHC))

5537 N BROADWAY ST
STE 101
CHICAGO, IL
ZIP 60640

(773) 388-1600

ERIN M. CONLEY LCPC

Counselor

(Professional)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

CHRISTINA JOLY LCOC

Counselor

(Professional)

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 818-8081

TPA NETWORK INCORPORATED

Clinic/Center

(Mental Health (Including Community Mental Health Center))

5537 N BROADWAY ST
CHICAGO, IL
ZIP 60640

(773) 989-9400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912752569, enumerated in the NPI registry as an "organization" on April 18, 2024

The provider is located at 5537 N Broadway St Chicago, Il 60640 and the phone number is (773) 989-9400

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 18, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.