Individual provider Active NPI

Tommy Pacana, M.D.

  • Gastroenterology Physician
  • Aurora, IL
National Provider Identifier
1093018285
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036.126831 Issued in IL
Practice address
2040 Ogden Ave Ste 401
Aurora, IL 60504-7208
Phone
(630) 499-6688
NPI assigned
Dec 10, 2010
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036.126831 IL Primary
Hospitalist Physician 208M00000X 036126831 IL
Student in an Organized Health Care Education/Training Program 390200000X 0116023346 VA

Addresses

Primary practice location

2040 Ogden Ave Ste 401
Aurora, IL 60504-7208

Mailing address

2040 Ogden Ave Ste 401
Aurora, IL 60504-7208
Phone (630) 499-6688

Other practice location 1

1901 W Galena Blvd
Aurora, IL 60506-4305
Phone (630) 692-5960

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302001041 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 7810179421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Copley Memorial Hospital IncGroup PAC ID 4587656921, 45 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 499-4721

2040 Ogden Ave
Aurora, IL 60504-7205

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy69
Upper gastrointestinal (GI) endoscopy for acid reflux82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.126831ILMDGastroenterology Physician
0116023346VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP Gastroenterology CurrentSince Mar 1, 2017 Accepting new patients
Rush University Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Rush-Copley Medical Group NFP CurrentSince Mar 1, 2017 Accepting new patients
Copley Memorial Hospital, Inc. Gastroenterology CurrentSince Sep 1, 2020 Accepting new patients
Illinois Gastroenterology Group, LLC Gastroenterology Past Accepting new patients

Locations

1256 Waterford Dr
Ste 120
Aurora, IL 60504
Phone (630) 499-6688

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

1320 N Highland Ave
Ste A
Aurora, IL 60506
Phone (630) 896-0659

1901 W Galena Blvd
Aurora, IL 60506
Phone (630) 692-5960

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2040 Ogden Ave
Ste 401
Aurora, IL 60504
Phone (630) 499-7500

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: tpacana131990@direct.rush.rush-health.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1093018285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047208",
            "telephone_number": "630-499-6688",
            "fax_number": "630-499-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047208",
            "telephone_number": "630-499-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Galena Blvd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605064305",
            "country_code": "US",
            "telephone_number": "630-692-5960",
            "fax_number": "630-592-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACANA",
        "first_name": "TOMMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.126831",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036126831",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116023346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.