Individual provider Active NPI

Darla Thomas

  • Podiatrist
  • Chicago, IL
National Provider Identifier
1003363540
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016-005792 Issued in IL
Practice address
1706 E 87TH St
Chicago, IL 60617-2740
Phone
(773) 374-5300
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016-005792 IL Primary

Addresses

Primary practice location

1706 E 87TH St
Chicago, IL 60617-2740

Mailing address

4554 N Avers Ave Apt 2
Chicago, IL 60625-6306
Phone (646) 281-6984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200204000008 IL Practitioner - Podiatry 0547696957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loretto HospitalGroup PAC ID 5193725893, 38 clinicians

Practice addresses (Care Compare)

1515 N Harlem Ave
Suite 100
Oak Park, IL 60302-1205
Phone (708) 628-2398

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 967-4270

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Loretto Hospital Hospital, Chicago, IL, CCN 140083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue196
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-005792ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Hospital CurrentSince Jun 25, 2023 Accepting new patients
Jondelle Jenkins Podiatrist Past Accepting new patients

Locations

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

Interoperability endpoints

  • Direct secure messaging: darla.thomas@loretto.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1003363540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N AVERS AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256306",
            "telephone_number": "646-281-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "773-374-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-005792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.