Mark Tomera, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036065652 Issued in IL

Practice address

7579 Lake St
River Forest, IL 60305-1846

Phone

(708) 366-7177

Fax

(708) 366-3301

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Loyola University of Chicago, Stritch School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loretto Hospital Hospital, Chicago, IL, CCN 140083
• West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.tomera@loretto.medalliesdirect.net

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.

• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284
  NPD
• Mark Tomera MC

  • Surgery Physician
  • River Forest, IL
  • NPI 1386805570
  NPD (past)
• Pulmonary Medicine Associates SC

  • Critical Care Medicine (Internal Medicine) Physician
  • Melrose Park, IL
  • NPI 1376576785
  NPD (past)

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

• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284
  Care Compare affiliation
• Resilience Healthcare-West Suburban Medical Center, LLC

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1619442266
  Care Compare affiliation

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1043311665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601300616",
            "telephone_number": "708-366-7177",
            "fax_number": "708-366-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051846",
            "telephone_number": "708-366-7177",
            "fax_number": "708-366-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMERA",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036065652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065652",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603127",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa McKenzie, M.D., LLC
• Terrie L Weir Medical PC
• Esther Thomas, PT
• Jasmine Brie Timmester, MA
• Fred M Tomera, MD
• Daniel G. Torres, M.D.
• Elizabeth Treatman, M.A., CCC-SLP
• Robin Ann Uchitelle, MD
• Russell Paul Umbricht, DDS
• Jillian Breann Vander Pol, RN, WHNP

• Surgery Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.