Organization Active NPI

Total Care Physicians, LTD.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1174896070
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOTAL CARE PHYSICIANS, LTD.
Practice address
3259 S Wells St
Chicago, IL 60616-3619
Phone
(312) 225-5785
Fax
(312) 225-6103
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Authorized official

Name
Dr. Matthew J Frazier, DONPI 1992931661
Title
Vice President
Phone
(312) 225-5785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3259 S Wells St
Chicago, IL 60616-3619

Mailing address

3259 S Wells St
Chicago, IL 60616-3619
Phone (312) 225-5785

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address gina.ciaccia.1@11188.direct.athenahealth.com Direct
Direct Messaging Address matthew.frazier.1@11188.direct.athenahealth.com Direct
Direct Messaging Address gciaccia255112@direct.myadvocateaurora.org Direct
Direct Messaging Address mfrazier279678@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000066 IL Part B Supplier - Clinic/Group Practice 2860657129 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2043725Total Care Physicians LTD3259 S Wells St, Chicago, IL 60616Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

3259 S Wells St
Chicago, IL 60616
Phone (312) 225-5785

Interoperability endpoints

  • Direct secure messaging: gina.ciaccia.1@11188.direct.athenahealth.com
  • Direct secure messaging: matthew.frazier.1@11188.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1174896070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3259 S WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163619",
            "telephone_number": "312-225-5785",
            "fax_number": "312-225-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 S WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163619",
            "telephone_number": "312-225-5785",
            "fax_number": "312-225-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PHYSICIANS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-225-5785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina.ciaccia.1@11188.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3259 S Wells St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.frazier.1@11188.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3259 S Wells St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gciaccia255112@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3259 S Wells St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfrazier279678@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3259 S Wells St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3259 S Wells St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606163619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.