Individual provider Active NPI

Avrey Thau, MD

  • Cornea and External Diseases Specialist Physician
  • Chicago, IL
National Provider Identifier
1164981916
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
036164051 Issued in IL
Practice address
4445 W Irving Park Rd Ste 330
Chicago, IL 60641-2808
Phone
(312) 695-8150
Fax
(312) 921-0385
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X 036164051 IL Primary

Addresses

Primary practice location

4445 W Irving Park Rd Ste 330
Chicago, IL 60641-2808

Mailing address

259 E Erie St Ste 1520
Chicago, IL 60611-3111
Phone (312) 695-8150

Other practice location 1

2115 Leiter Rd
Miamisburg, OH 45342-3600
Phone (937) 384-6800

Other practice location 2

1160 W Michigan St
Indianapolis, IN 46202-5209
Phone (317) 944-2020

Other practice location 3

645 N Michigan Ave Ste 440
Chicago, IL 60611-5899
Phone (312) 503-3649

Other practice location 4

259 E Erie St Ste 1520
Chicago, IL 60611-3111
Phone (312) 695-8150

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
I20230623002019 IL Practitioner - Ophthalmology 2567703465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

259 E Erie
Lavin 1520
Chicago, IL 60611-2987
Phone (312) 695-8150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036164051ILMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2023 Accepting new patients
Central Dupage Physician Group PastSince Sep 1, 2024 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

259 E Erie St
Ste 2300
Chicago, IL 60611
Phone (312) 695-6000

259 E Erie St
Ste 1520
Chicago, IL 60611
Phone (312) 227-6180

645 N Michigan Ave
Ste 440
Chicago, IL 60611
Phone (312) 503-3649

4445 W Irving Park Rd
Ste 330
Chicago, IL 60641

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Interoperability endpoints

  • Direct secure messaging: avrey.thau.1@3547.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1164981916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113111",
            "telephone_number": "312-695-8150",
            "fax_number": "312-695-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W IRVING PARK RD STE 330",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412808",
            "telephone_number": "312-695-8150",
            "fax_number": "312-921-0385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Leiter Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423600",
            "country_code": "US",
            "telephone_number": "937-384-6800",
            "fax_number": "937-384-6938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1160 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-944-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 N Michigan Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606115899",
            "country_code": "US",
            "telephone_number": "312-503-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 E Erie St Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113111",
            "country_code": "US",
            "telephone_number": "312-695-8150",
            "fax_number": "312-695-3652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAU",
        "first_name": "AVREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "IL",
            "license": "036164051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.