Individual provider Active NPI

Thomas James McMorrow, MD

  • Pediatrics Physician
  • Peoria, IL
National Provider Identifier
1003312059
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036169538 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-1334
Phone
(309) 655-2553
Fax
(309) 655-2602
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 036169538 IL
Pediatrics Physician 208000000X 036169538 IL Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-1334

Mailing address

1173 Sunset Dr
East Peoria, IL 61611-1167
Phone (412) 638-2200

Other practice location 1

4401 Penn Avenue
AOB 2nd Floor Suite 2400
Pittsburgh, PA 15224-1334
Phone (412) 692-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230608001931 PA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4486902731 Reassigns benefits to 1 organization
I20240515001873 IL Practitioner - Pediatric Medicine 4486902731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Jul 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince May 1, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2023 Accepting new patients

Locations

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213

4401 Penn Ave
Fl 2
Pittsburgh, PA 15224
Phone (412) 692-5090

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1003312059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 SUNSET DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111167",
            "telephone_number": "412-638-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616371334",
            "telephone_number": "309-655-2553",
            "fax_number": "309-655-2602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Avenue",
            "address_2": "AOB 2nd Floor Suite 2400",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-692-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMORROW",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IL",
            "license": "036169538",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036169538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.