Active NPI
Joseph G Thometz, M.D.
- Orthopaedic Surgery Physician
- Flossmoor, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036072879
- Practice address
- 19550 Governors Hwy Suite 1400
Primary Healthcare Associates, SC
Flossmoor, IL 60422-2136 - Phone
- (708) 647-7565
- Fax
- (708) 225-7671
- NPI assigned
- Oct 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036072879 | IL | Primary |
Addresses
Primary practice location
19550 Governors Hwy Suite 1400
Primary Healthcare Associates, SC
Flossmoor, IL 60422-2136
Mailing address
27702 Network Place Primary Healthcare Associates SC
Chicago, IL 60673-1277
Phone (708) 862-7674
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072879 | Medicaid | IL | |
| 31604221 | Other | IL | BCBS |
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 |
|---|---|---|---|---|
| I20071001000606 | IL | Practitioner - Orthopedic Surgery | 0143315598 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Northwestern University Feinberg Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1551 Huntington Dr
Calumet City, IL 60409-5440
19550 Governors Hwy
Suite 1400
Flossmoor, IL 60422-2136
Hospital & facility affiliations
- Ingalls Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucm Medical Group Sub, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
1600 167th St
Ste 900
Calumet City, IL 60409
Phone (708) 647-7565
27702 Network Pl
Chicago, IL 60673
19550 Governors Hwy
Ste 1400
Flossmoor, IL 60422
Phone (708) 647-7565
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
6703 159th St
Ste 115
Tinley Park, IL 60477
Phone (708) 342-1573
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1114915063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27702 NETWORK PLACE PRIMARY HEALTHCARE ASSOCIATES SC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731277",
"telephone_number": "708-862-7674",
"fax_number": "708-862-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 GOVERNORS HWY SUITE 1400",
"address_2": "PRIMARY HEALTHCARE ASSOCIATES, SC",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222136",
"telephone_number": "708-647-7565",
"fax_number": "708-225-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMETZ",
"first_name": "JOSEPH",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036072879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036072879",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31604221",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.