DR. BRANDON CRAIG TUDOR M.D.
NPI 1417103490
Emergency Medicine in Chicago, IL
NPI Status: Active since August 11, 2008
Contact Information
1900 W POLK ST
10TH FLOOR
CHICAGO, IL
ZIP 60612
Phone: (312) 864-0060
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
About BRANDON TUDOR
This page provides the complete NPI Profile along with additional information for Brandon Tudor, a provider established in Chicago, Illinois with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1417103490 assigned on August 2008. The practitioner's primary taxonomy code is 207P00000X with license number 125-050807 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1417103490
- Provider Name
- DR. BRANDON CRAIG TUDOR M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1900 W POLK ST 10TH FLOOR CHICAGO, IL 60612
- Location Phone
- (312) 864-0060
- Mailing Address
- 1900 W POLK ST 10TH FLOOR CHICAGO, IL 60612
- Mailing Phone
- (312) 864-0060
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2008
- Last Update Date
- 07-21-2023
- Code Navigator
Location Map
Secondary Locations
- 1117 Spring St
Friday Harbor, WA 98250
(360) 378-2141
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125-050807
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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) |
---|---|---|---|---|
1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | MD60139748 (WA) |
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 |
---|---|---|---|
125-050807 | OTHER (01) | IL | STATE LICENSE NUMBER |
Medicare Participation & PECOS Enrollment Status
Brandon Tudor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Ultrasound of heart, follow-up
Ultrasound scan of chest
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 21 times for 21 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 211 times for 204 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 76 times for 74 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 29 times for 27 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 94 times for 88 patientsA follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
This service was performed 12 times for 11 patientsAn ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60612 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. BRANDON CRAIG TUDOR M.D.
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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. | |||||||||
1 | 4 | 1 | 7 | 1 | 0 | 3 | 4 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 2 | 7 | 2 | 0 | 6 | 4 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 2 + 7 + 2 + 0 + 6 + 4 + 1 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1417103490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1104897792 | MS. JANET DONEGAN NP Individual | Nurse Practitioner | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-5204 |
1598703225 | DR. LAURA S SADOWSKI MD Individual | Internal Medicine | 1900 W POLK ST #1606 CHICAGO, IL 60612 (312) 864-3680 |
1902842628 | DR. NANCY ELAINE FRITZ MD Individual | Pediatrics (Adolescent Medicine) | 1900 W POLK ST ADOLESCENT DIVISION, #1104 CHICAGO, IL 60612 (312) 689-7466 |
1639100969 | DR. DENNIS L. VICKERS M.D. Individual | Pediatrics | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-4154 |
1578588950 | MS. ANNE E KLOSINSKI APN Individual | Nurse Practitioner | 1900 W POLK ST 1431 CHICAGO, IL 60612 (312) 864-7890 |
1346355575 | DR. CHRISTOPHER HAROLD ROSS MD Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR, DIVISION OF EMERGENCY MEDICINE CHICAGO, IL 60612 (312) 864-0060 |
1497873970 | DR. ROXANNE R ROBERTS MD Individual | Surgery (Trauma Surgery) | 1900 W POLK ST TRAUMA OFFICE 1300 CHICAGO, IL 60612 (312) 864-2754 |
1770605701 | MRS. KATHY SCOTT KAHN PAC Individual | Physician Assistant (Medical) | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-6667 |
1881883346 | MS. KIREN SURINDER MANN M.SC. Individual | Genetic Counselor, MS | 1900 W POLK ST 11TH FLOOR CHICAGO, IL 60612 (312) 864-6000 |
1518139633 | DR. EUREVA WALKER PHARM D Individual | Pharmacist | 1900 W POLK ST ATTN: PHARMACY DEPARTMENT CHICAGO, IL 60612 (312) 864-5614 |
1588820450 | RACHEL SUE WEISELBERG MD Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR CHICAGO, IL 60612 (312) 400-5830 |
1154579563 | DR. DAVID SELANDER MD Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR, EMERGENCY MEDICINE CHICAGO, IL 60612 (312) 864-0060 |
1508014929 | LAURA ELISA ALDARONDO GALLEGOS MD Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR CHICAGO, IL 60612 (312) 864-0063 |
1790934578 | DR. NILES ANTHONY RAINS M.D. Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR, DEPT. OF EMERGENCY MEDICINE CHICAGO, IL 60612 (312) 864-0060 |
1104076074 | DR. RONALD KIM M.D. Individual | Emergency Medicine | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-0060 |
1417195876 | COOK COUNTY HOSPITAL Organization | General Acute Care Hospital | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-6000 |
1023257151 | JOHN STROGER JR. HOSPITAL OF THE COOK COUNTY Organization | General Acute Care Hospital | 1900 W POLK ST DEPT OF EM 10TH FLOOR CHICAGO, IL 60612 (312) 864-0060 |
1083853956 | PETER M THOMPSON M.D. Individual | Emergency Medicine | 1900 W POLK ST 10TH FLOOR DEPT OF EMERGENCY MEDICINE CHICAGO, IL 60612 (312) 864-0062 |
1053551630 | DR. MATTHEW Y RHEE M.D. Individual | Emergency Medicine | 1900 W POLK ST DEPARTMENT OF EMERGENCY MEDICINE CHICAGO, IL 60612 (312) 864-0062 |
1962732586 | DR. PERRY MYLES MARTIN M.D. Individual | Internal Medicine | 1900 W POLK ST CHICAGO, IL 60612 (312) 864-7203 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417103490, enumerated in the NPI registry as an "individual" on August 11, 2008
The provider is located at 1900 W Polk St 10th Floor Chicago, Il 60612 and the phone number is (312) 864-0060
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, Ultrasound of heart, follow-up and Ultrasound scan of chest.
This NPI record was last updated on August 11, 2008. 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].
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