Abraham Thomas, MD
Individual provider Active NPI Internal Medicine Physician · Clifton, IL
NPI 1063423655 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063423655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Practice address
- 335 6TH St E
Clifton, IL 60927 - Phone
- (815) 464-2621
- Fax
- (815) 937-8246
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Service Systems, Inc
Practice addresses (Care Compare)
1890 Silver Cross Blvd
Suite 265
New Lenox, IL 60451-9623
Phone (815) 727-4292
Hospital & facility affiliations
- Silver Cross Home Health
- Elara Caring III
- Uplifted Care
- Silver Cross Hospital and Medical Centers
- Riverside Medical Center
- Presence St Marys Hospital
- Northwestern Medicine Central Dupage Hospital
- Citadel of Bourbonnais,the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Upliftedcare |
Hospice | Corporate Director (100%) | Nov 1, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701001411 | IL | Practitioner - Internal Medicine | 0840277307 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036/086405 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Service Systems, Inc | Internal Medicine | Current |
Accepting new patients |
| Health Service Systems, Inc | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
540 W North St
Manhattan, IL 60442
Phone (815) 478-3890
21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030
1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Yes |
Addresses
Primary practice location
335 6TH St E
Clifton, IL 60927
Mailing address
9223 W Saint Francis Rd
Frankfort, IL 60423-8330
Phone (815) 806-3111
Other providers in Clifton, IL
- Venkata Moparthi
- Corey Norton
- Wuraola Ibiyemi Omotosho
- Josette Leanna Peters
- Presence Healthcare Services
All providers in Clifton, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.