Active NPI
Thomas Pliura, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Normal, IL
National Provider Identifier
1124054010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 036-069013
- Practice address
- Virginia & Franklin Streets
Normal, IL 61761 - Phone
- (309) 827-4321
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 036-069013 | IL | Primary |
Addresses
Primary practice location
Virginia & Franklin Streets
Normal, IL 61761
Mailing address
RR 2 Box 130
Le Roy, IL 61752-9541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069013-1 | Medicaid | IL | |
| 05721369 | Other | IL | BC/BS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-069013 | IL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integritas Emergency Physician Services, LLC | Current | Accepting new patients | |
| Bloomington Medical Laboratory Physicians, S.C. | Current | Accepting new patients | |
| Marion Emergency Physicians, LLC | Past | Accepting new patients | |
| Danville Healthcare, LLC | Past | Accepting new patients | |
| Prairie Emergency Group, LTD. | Emergency Medical Services | Past | Accepting new patients |
| Central Illinois Neuroradiology, LTD | Past | Accepting new patients | |
| Ecare Emergency Physicians | Past | Accepting new patients |
Locations
517 N Main St
Anna, IL 62906
Phone (618) 833-2295
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Anatomic Pathology & Clinical Pathology Physician
- Bloomington, IL
- NPI 1841229507
-
- Specialist
- Bloomington, IL
- NPI 1881641371
-
- Urgent Care Clinic/Center
- Danville, IL
- NPI 1558467936
-
- Urgent Care Clinic/Center
- Danville, IL
- NPI 1285838151
-
- Emergency Medicine Physician
- Marion, IL
- NPI 1679870513
-
- Emergency Medical Services (Emergency Medicine) Physician
- Normal, IL
- NPI 1538184114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1124054010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 130",
"city": "LE ROY",
"state": "IL",
"postal_code": "617529541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VIRGINIA & FRANKLIN STREETS",
"city": "NORMAL",
"state": "IL",
"postal_code": "61761",
"telephone_number": "309-827-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLIURA",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "IL",
"license": "036-069013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069013-1",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "05721369",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.