Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tim S. Provias, MD

Individual provider Interventional Cardiology Physician · NPI 1912169764

Tim S. Provias, MD is an Interventional Cardiology in Chicago, Illinois. Graduated from Northwestern University Feinberg Medical School in 2005, 21 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

675 N Saint Clair St Galter 19-100
Chicago, IL 60611-5975
Phone: (312) 695-2458
Fax: (312) 695-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036129441 (IL)

Record details

NPI number1912169764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESMarch 25, 2015
Mailing address680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), PERIPHERAL VASCULAR DISEASE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations27 on file with Medicare

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