DR. SETH R. TANENBAUM (M.D.) – Cardiovascular Disease Physician, NPI 1912902933

DR. SETH R. TANENBAUM (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in Cardiovascular Disease Physician. They hold the professional credentials M.D.. They hold a License No. 036-069434 (IL). The NPI Number for DR. SETH R. TANENBAUM (M.D.) is 1912902933

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. SETH R. TANENBAUM (M.D.)
NPI
1912902933
Phone
(773) 871-7384
Address
2800 N SHERIDAN RD
Enumeration Date
16 June 2005
Last Update Date
15 February 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
7736656704
Graduation Year
1980 (46 years ago)
PAC ID
9032215215
Professional Enrollment ID
I20070504000111
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. SETH R. TANENBAUM (M.D.)

  • Howard Brown Health Diversey, 2800, North Sheridan Road, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    STE 400

    CHICAGO, IL 606576157

    Phone: (773) 871-7384

    Fax: (773) 377-1766

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070504000111ICardiovascular Disease (Cardiology)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60657)

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Provider's Procedures

DR. SETH R. TANENBAUM (M.D.) performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1588913

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Frequently asked questions

What federal number belongs to DR. SETH R. TANENBAUM (M.D.)?
The federal identifier for DR. SETH R. TANENBAUM (M.D.) is NPI 1912902933.
Is DR. SETH R. TANENBAUM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SETH R. TANENBAUM (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DR. SETH R. TANENBAUM (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. SETH R. TANENBAUM (M.D.)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for DR. SETH R. TANENBAUM (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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