Individual provider Active NPI

Treesa J Thomas, N.P

  • Family Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1063949840
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015973 Issued in IL
Practice address
120 N Oak St
Hinsdale, IL 60521-3829
Phone
(630) 789-3422
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015973 IL Primary

Addresses

Primary practice location

120 N Oak St
Hinsdale, IL 60521-3829

Mailing address

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

Other names 1

  • Treesamol Chullikkal Alias Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117002520 IL Practitioner - Nurse Practitioner 1153680228 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners IncGroup PAC ID 7517154347, 45 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 789-3422

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 499-4750

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-2100

908 N Elm St
Suite 404
Hinsdale, IL 60521-3638
Phone (630) 789-3422

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Sep 19, 2022 Accepting new patients
Premier Internists of Naperville Inc. CurrentSince Dec 27, 2017 Accepting new patients
Premier Internists S.C. CurrentSince Jan 20, 2018 Accepting new patients

Locations

235 Remington Blvd
Ste K
Bolingbrook, IL 60440
Phone (630) 914-5153

16955 Collection Ctr Dr
Chicago, IL 60693

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

620 N River Rd
Ste 102
Naperville, IL 60563
Phone (630) 355-4755

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

2363 63rd St
Woodridge, IL 60517
Phone 22477355880000

Interoperability endpoints

  • Direct secure messaging: tthomas1654374@adventhealth.direct-ci.com

Organizations & group practices 4

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 5

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1063949840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-789-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N OAK ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213829",
            "telephone_number": "630-789-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TREESA",
        "middle_name": "J",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209015973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TREESAMOL",
            "last_name": "CHULLIKKAL ALIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.