Active NPI
Thomas H Tarter, M.D.
- Surgical Oncology Physician
- Decatur, IL
National Provider Identifier
1114913225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 036092911
- Practice address
- 210 W McKinley Ave Ste 1
Decatur, IL 62526-5858 - Phone
- (217) 876-6600
- Fax
- (217) 876-6606
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036092911 | IL | |
| Surgical Oncology Physician | 2086X0206X | 036092911 | IL | Primary |
Addresses
Primary practice location
210 W McKinley Ave Ste 1
Decatur, IL 62526-5858
Mailing address
210 W McKinley Ave Ste 1
Decatur, IL 62526-5858
Phone (217) 876-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092911 | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818000805 | IL | Practitioner - Urology | 4880728492 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092911 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Prairie Oncology Management Services Pharmacy | Past | Accepting new patients | |
| Cancer Care Specialists of Central Illinois, S.C | Past | Accepting new patients |
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.
-
- Specialty Pharmacy
- Decatur, IL
- NPI 1497406219
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Pharmacist
- Decatur, IL
- NPI 1689761223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1114913225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W MCKINLEY AVE STE 1",
"city": "DECATUR",
"state": "IL",
"postal_code": "625265858",
"telephone_number": "217-876-6600",
"fax_number": "217-876-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W MCKINLEY AVE STE 1",
"city": "DECATUR",
"state": "IL",
"postal_code": "625265858",
"telephone_number": "217-876-6600",
"fax_number": "217-876-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTER",
"first_name": "THOMAS",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036092911",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "IL",
"license": "036092911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092911",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.