DR. EUGENE M TANQUILUT (DO) – Vascular Surgery Physician, NPI 1043215148

DR. EUGENE M TANQUILUT (DO) is a healthcare provider. based in Olympia fields, Illinois. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials DO. They hold a License No. 02002492A (IN). The NPI Number for DR. EUGENE M TANQUILUT (DO) is 1043215148

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. EUGENE M TANQUILUT (DO)
NPI
1043215148
Phone
(815) 824-4406
Address
20060 GOVERNORS DR
Enumeration Date
15 June 2005
Last Update Date
3 March 2015

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8158244406
Graduation Year
1992 (34 years ago)
PAC ID
6406846658
Group Practice PAC ID
1153551494
Professional Enrollment ID
I20050603000938
Address ID
IN463213917MU1912XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

240 VASCULAR SURGERY in IL

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Provider Addresses for DR. EUGENE M TANQUILUT (DO)

  • Governors Drive, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States

    SUITE 102

    OLYMPIA FIELDS, IL 604611029

    Phone: (815) 824-4406

    Fax: (815) 844-0307

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 153 Open Payments records for all available years, with a total value of $5,413.

Total Amount is formed as General ($5,413) + Research ($0) + Ownership ($0) = $5,413.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Kerecis Limited ($1,391).

Total Amount

$5,413

General + Research + Ownership

Payments

153

Total payment records

General Amount

$5,413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050603000938IVascular SurgeryINTBD
I20061208000233IVascular SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml8,883182$0
J2250Injection, midazolam hydrochloride, per 1 mg35889$0
J3010Injection, fentanyl citrate, 0.1 mg26291$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes25165$0
37253Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel23859$0
View full utilization report →

Insurance plans in this area (ZIP 60461)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153551494View full group profile
NameSpecialtyState
Vascular SurgeryMI
Vascular SurgeryIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is there an official ID for DR. EUGENE M TANQUILUT (DO) in U.S. healthcare records?
The official identifier for DR. EUGENE M TANQUILUT (DO) is NPI 1043215148.
Would DR. EUGENE M TANQUILUT (DO) appear as active to a payer?
You can treat DR. EUGENE M TANQUILUT (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. EUGENE M TANQUILUT (DO)?
DR. EUGENE M TANQUILUT (DO)'s specialty line reads Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. EUGENE M TANQUILUT (DO)?
Directory geography for DR. EUGENE M TANQUILUT (DO) centers on Olympia Fields, Illinois.
When was this NPI issued?
Enumeration for DR. EUGENE M TANQUILUT (DO) is noted as June 15, 2005 where the registry provides it.

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