Tomasz Piotr Lis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01083261A Issued in IN

Practice address

2233 W Division St
Chicago, IL 60622-8151

Phone

(312) 770-2000

NPI assigned

Aug 26, 2010

Last updated

Jan 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, IN, IL, IA, WI5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 5

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians

Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Health - Starke Hospital, Knox, IN, CCN 150102
• Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
• Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
• Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
• Ripon Medical Center Hospital, Ripon, WI, CCN 521321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15486/brand/2/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/16494/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/d97362bf-37fe-407d-8a05-be96ba9615b1/
• FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
• FHIR API: https://fhir-myrecord.cerner.com/r4/Hq9lMFKIau9MlCiBN698ZPzTKNvsMrCb/
• Direct secure messaging: tlis482453@direct.centracare.com
• Direct secure messaging: tomasz.lis@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Health System

  dba Genesis Medical Center Dewitt

  • Critical Access Hospital
  • De Witt, IA
  • NPI 1649368523
  Medicare reassignment Care Compare group NPD
• Crawford Hospital District

  dba Crawford Memorial Hospital and Health Services

  • Critical Access Hospital
  • Robinson, IL
  • NPI 1265493720
  Medicare reassignment NPD
• Crawford Hospital District

  dba Crawford Memorial Hospital

  • Internal Medicine Physician
  • Robinson, IL
  • NPI 1861423287

  Family Medicine

  Medicare reassignment NPD
• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000
  Medicare reassignment NPD
• Statera Health Care, LLC

  • Emergency Medicine Physician
  • Harrisburg, IL
  • NPI 1043874449
  Medicare reassignment NPD
• Agnesian Healthcare, Inc

  dba SSM Health St Agnes Hospital Fond Du Lac

  • General Acute Care Hospital
  • Fond Du Lac, WI
  • NPI 1346228541
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• County of Meeker

  dba Meeker Memorial Hospital & Clinics - East/West

  • Rural Health Clinic/Center
  • Litchfield, MN
  • NPI 1083221816
  Medicare reassignment NPD
• Emergency Professionals of Indiana, P.C.

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1013951219
  Medicare reassignment NPD
• Hendricks Community Hospital Assn & Retirement Home

  dba Hendricks Clinic

  • Rural Health Clinic/Center
  • Hendricks, MN
  • NPI 1013206812
  Medicare reassignment NPD
• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Maquoketa, IA
  • NPI 1326002643
  Medicare reassignment NPD
• Jackson County Public Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maquoketa, IA
  • NPI 1689705949
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crawford Hospital District

  dba CMH Specialty Clinic-Newton

  • Urology Physician
  • Newton, IL
  • NPI 1265309405

  Hospital

  Care Compare affiliation
• Crawford Hospital District

  dba Crawford Memorial Hospital and Health Services

  • Critical Access Hospital
  • Robinson, IL
  • NPI 1265493720
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center Dewitt

  • Critical Access Hospital
  • De Witt, IA
  • NPI 1649368523
  Care Compare affiliation
• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Care Compare affiliation
• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319
  Care Compare affiliation
• Ripon Medical Center Inc

  dba SSM Health Ripon Community Hospital

  • Critical Access Hospital
  • Ripon, WI
  • NPI 1053362624
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1003122151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E. LINCOLN ST.",
            "address_2": "PO BOX 106",
            "city": "HENDRICKS",
            "state": "MN",
            "postal_code": "56136",
            "telephone_number": "507-275-3121",
            "fax_number": "507-275-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Knox",
            "state": "IN",
            "postal_code": "465342216",
            "country_code": "US",
            "telephone_number": "574-772-6231",
            "fax_number": "574-772-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIS",
        "first_name": "TOMASZ",
        "middle_name": "PIOTR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01083261A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01083261A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorel Lira, M.D
• Carolyn Lis, RD
• Daniel Theodore Lis Jr., M.D.
• Eric C Lis
• Paulina Marzena Lis, MD
• Lisa a Rone MD
• Lisa a. Stanton, P.C.
• Lisa Catania, PC
• Lisa Demos LCPC and Associates, LLC
• Lisa Greising

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.