Active NPI
Tomas Nemickas, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 036-095330
- Practice address
- 350 S Greenleaf St
Suite 405
Gurnee, IL 60031-5709 - Phone
- (847) 336-3335
- NPI assigned
- May 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036-095330 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036-095330 | IL | Primary |
Addresses
Primary practice location
350 S Greenleaf St
Suite 405
Gurnee, IL 60031-5709
Mailing address
900 Rand Rd Ste 300
Attn: Raquel Leon
Des Plaines, IL 60016-2359
Phone (847) 324-3976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-095330 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Red Oak LN
Suite 100
Lindenhurst, IL 60046-5017
Phone (847) 336-3335
2101 Waukegan Rd
Bannockburn, IL 60015-1836
2401 Ravine Way
Glenview, IL 60025-7645
350 S Greenleaf St
Gurnee, IL 60031-5709
406 Front St
McHenry, IL 60050-5593
521 Green Bay Rd
Wilmette, IL 60091-2726
Phone (847) 996-5680
718 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 362-4483
720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
724 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 990-5259
9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-5444
9600 Gross Point Rd
Skokie, IL 60076-1214
Phone (847) 677-9600
Hospital & facility affiliations
- Aspire Home Healthcare, LLC
- Advocate Condell Medical Center
- Northwestern Lake Forest Hospital
- Northshore University Healthsystem - Evanston Hospital
- Vista Medical Center East
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 17 |
| Knee replacement | 22 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-095330 | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
350 S Greenleaf St
Ste 405
Gurnee, IL 60031
Phone (847) 336-3335
101 Waukegan Rd
Ste 990
Lake Bluff, IL 60044
Phone (847) 336-3335
720 Florsheim Dr
Libertyville, IL 60048
Phone (847) 247-4000
716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077
1025 Red Oak Ln
Ste 100
Lindenhurst, IL 60046
Phone (847) 245-7175
6308 8th Ave
#2000
Kenosha, WI 53143
Phone (262) 653-5300
Interoperability endpoints
- tnemickas211085@cityofhope.direct-ci.com
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- Home Health Agency
- Morton Grove, IL
- NPI 1437392008
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1124073838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RAND RD STE 300",
"address_2": "ATTN: RAQUEL LEON",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162359",
"telephone_number": "847-324-3976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S GREENLEAF ST",
"address_2": "SUITE 405",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315709",
"telephone_number": "847-336-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMICKAS",
"first_name": "TOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036-095330",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036-095330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-095330",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.