Thomas Robert Dekoj, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036126490 Issued in IL

Practice address

1750 E Lake Shore Drive
Suite 200
Decatur, IL 62521-3806

Phone

(217) 428-6300

Fax

(217) 428-6322

NPI assigned

Jun 9, 2007

Sex

Male

Sole proprietor

No

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 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 SurgeryAlso: Colorectal Surgery (Proctology)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
• Holy Cross Hospital Hospital, Chicago, IL, CCN 140133

Merit-based Incentive Payment System (MIPS)

Final score

94.03 of 100Reported as group

Quality

71.53

Promoting interoperability

100

Improvement activities

40

Cost

76.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment Care Compare group NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• SMG South State Health Center

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366787012
  NPD

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

• Holy Cross Hospital

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1427547538
  Care Compare affiliation
• Holy Cross Hospital

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
  • NPI 1770335770

  Hospital

  Care Compare affiliation
• Holy Cross Hospital

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
  • NPI 1821840828

  Hospital

  Care Compare affiliation
• Holy Cross Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1962425611
  Care Compare affiliation
• Mount Sinai Hospital Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1871581314
  Care Compare affiliation

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1053514646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DRIVE",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213806",
            "telephone_number": "217-428-6300",
            "fax_number": "217-428-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E LAKE SHORE DRIVE",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213806",
            "telephone_number": "217-428-6300",
            "fax_number": "217-428-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKOJ",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "261007",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036126490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Public School Dist. #61
• Decatur Radiology Physicians Services PLLC
• David Deeb, LPC
• Martha Deetz
• Tracy Dehority, CRNA
• Deborah Deloney, SLP
• Desi Lamont Dennis, MD
• Jacqueline R Dennis, LPN
• Hillary Denny, D.P.T
• Jeffrey Luke Denny, PA

• Surgery Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.