Ruchir Thakkar, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036133879 Issued in IL

Practice address

5741 W Cermak Rd
Cicero, IL 60804-2129

Phone

(708) 222-0100

Fax

(708) 222-0102

NPI assigned

Apr 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Cermak Medical Group LLC

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1518498393
  Medicare reassignment Care Compare group NPD Authorized official
• Trivedimd LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1639735608
  Medicare reassignment NPD
• TT Medical Group LLC

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1215528922
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1174812853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042129",
            "telephone_number": "708-222-0100",
            "fax_number": "708-222-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042129",
            "telephone_number": "708-222-0100",
            "fax_number": "708-222-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "RUCHIR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036133879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036133879",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama Sundar, MD
• Brian Swanson
• Kayla Taylor, OTR/L
• Alan Tellez
• Kiara Tellez
• Paul Lyndon Thames Jr.
• Sabiha Thaseen, M.D.
• The Board of Trustees of the University of Illinois (UIH-Mile Square Health Center at Cicero)
• The Board of Trustees of the University of Illinois (Mile Square Cicero)
• Maria Tirado-Valdez

• Family Medicine Physician in Cicero, IL
• Providers in Cicero, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.

Verify at the official NPI Registry.