Individual provider Active NPI

Neethu Susan Thomas, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Barrington, IL
National Provider Identifier
1083397863
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209027971 Issued in IL
Practice address
27790 W Highway 22
Barrington, IL 60010-2340
Phone
(847) 620-6077
Fax
(847) 842-4887
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 209027971 IL Primary

Addresses

Primary practice location

27790 W Highway 22
Barrington, IL 60010-2340

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

745 Fletcher Dr Ste 103
Elgin, IL 60123-4748
Phone (847) 620-6077

Other practice location 2

109 Hinkle Ln
Schaumburg, IL 60193-1416
Phone (847) 337-0660

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address nthomas200431@direct.myadvocateaurora.org Direct

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
I20231215003109 IL Practitioner - Nurse Practitioner 3173972163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

2320 Royal Blvd
Elgin, IL 60123-4717
Phone (224) 783-4440

3815 Highland Ave
Downers Grove, IL 60515-1500

Hospital & facility affiliations

  • Advocate Good Samaritan Hospital Hospital, Downers Grove, IL, CCN 140288
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Dec 15, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 15, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

27790 W Highway 22
Barrington, IL 60010
Phone (847) 382-5080

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

3743 Highland Ave
Fl 2
Downers Grove, IL 60515
Phone (708) 478-7873

745 Fletcher Dr
Ste 103
Elgin, IL 60123
Phone (847) 620-6077

Interoperability endpoints

  • Direct secure messaging: nthomas388805@direct.myadvocateaurora.org
  • Direct secure messaging: nthomas200431@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.

Hospital & facility affiliations 4

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1083397863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27790 W HIGHWAY 22",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102340",
            "telephone_number": "847-620-6077",
            "fax_number": "847-842-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Fletcher Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234748",
            "country_code": "US",
            "telephone_number": "847-620-6077",
            "fax_number": "224-783-5665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Hinkle Ln",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601931416",
            "country_code": "US",
            "telephone_number": "847-337-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NEETHU",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "27790 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nthomas200431@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "27790 W Highway 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.