DR. EUGENE M TANQUILUT DO NPI 1043215148

NPI Information

  • NPI: 1043215148
  • Provider Name: DR. EUGENE M TANQUILUT, DO
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20060 GOVERNORS DR
    SUITE 102
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Phone: (815) 824-4406

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NPI Details

DR. Eugene M Tanquilut, DO is a vascular surgery surgery in Olympia Fields, IL with 33 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Eugene M Tanquilut, DO NPI is 1043215148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1992

The provider's business location address is:

20060 GOVERNORS DR
SUITE 102
OLYMPIA FIELDS, IL
ZIP 60461-029
Phone: (815) 824-4406
Fax: (815) 844-0307

The NPI 1043215148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel (HCPCS:37253)
  • Ultrasound evaluation of blood vessel with review by radiologist, initial vessel (HCPCS:37252)
  • Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes (HCPCS:99153)
  • Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of plaque in arteries of leg (HCPCS:37225)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Primary removal and dissolving of blood clot from artery or artery graft using fluoroscopic guidance, initial vessel (HCPCS:37184)
  • Insertion of stent in vein with review by radiologist, initial vein (HCPCS:37238)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 6/15/2005 and was last updated on 3/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery02002492AINDIANANo
22086S0129XSurgeryVascular Surgery036094341ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K32696MEDICARE PINILLINOIS
2036094341MEDICAIDILLINOIS
3G37906MEDICARE UPININDIANA
4969780011MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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