Active NPI
Thomas Bump, M.D.
- Clinical Cardiac Electrophysiology Physician
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036-062686
- Practice address
- 3545 W 95TH St
Evergreen Park, IL 60805-2135 - Phone
- (708) 346-5562
- Fax
- (708) 346-2059
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036-062686 | IL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036-062686 | IL | Primary |
Addresses
Primary practice location
3545 W 95TH St
Evergreen Park, IL 60805-2135
Mailing address
3545 W 95TH St
Evergreen Park, IL 60805-2135
Phone (708) 346-5562
Other practice location 1
4400 W 95th St
Suite 306
Oak Lawn, IL 60453-2654
Phone (708) 346-5562 ext. 23
Other practice location 2
5151 W 95th St
Oak Lawn, IL 60453-6460
Phone (708) 346-5562
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062686 | Medicaid | IL | |
| 1619991361 | Other | IL | GROUP NPI# |
| IL4014007 | Other | IL | MEDICARE PTAN# |
| 1477731685 | Other | IL | GROUP NPI# |
| 685583 | Other | GROUP MEDICARE# | |
| IL4013007 | Other | IL | MEDICARE PTAN# |
| P00713296/CK6882 | Other | IL | MEDICARE RAILROAD |
| 203979007 | Other | IL | MEDICARE PTAN-SPI |
| 0001619074 | Other | BROUP BC/BS# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tombump@direct.practicefusion.com |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Harvard Medical School, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3545 W 95TH St
Evergreen Park, IL 60805-2135
Phone (708) 346-5562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-062686 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Care Centers of Illinois, SC | Cardiovascular Disease | Current | Accepting new patients |
| High Technology, Inc. | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600
2338 New St
Blue Island, IL 60406
Phone (708) 577-5060
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300
4400 W 95th St
Ste 306
Oak Lawn, IL 60453
Phone (708) 684-5428
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- tombump@direct.practicefusion.com
- tbump277434@direct.myadvocateaurora.org
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.
-
- Clinical Cardiac Electrophysiology Physician
- Evergreen Park, IL
- NPI 1477731685
-
- Cardiovascular Disease Physician
- Palos Park, IL
- NPI 1508810086
-
- Radiation Oncology Clinic/Center
- Palos Heights, IL
- NPI 1053484667
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1013941053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052135",
"telephone_number": "708-346-5562",
"fax_number": "708-346-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052135",
"telephone_number": "708-346-5562",
"fax_number": "708-346-2059"
}
],
"practiceLocations": [
{
"address_1": "4400 W 95th St",
"address_2": "Suite 306",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532654",
"country_code": "US",
"telephone_number": "708-346-5562 x23",
"fax_number": "708-346-2059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5151 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604536460",
"country_code": "US",
"telephone_number": "708-346-5562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUMP",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-062686",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036-062686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062686",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "1619991361",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN#",
"identifier": "IL4014007",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "1477731685",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE#",
"identifier": "685583",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN#",
"identifier": "IL4013007",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00713296/CK6882",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN-SPI",
"identifier": "203979007",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BROUP BC/BS#",
"identifier": "0001619074",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tombump@direct.practicefusion.com",
"affiliation": "N",
"address_1": "3545 W 95th St",
"city": "Evergreen Park",
"state": "IL",
"country_code": "US",
"postal_code": "608052135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.