Thompson Dzidza, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.005067 Issued in IL

Practice address

925 W 53Rd St
Chicago, IL 60609-6109

Phone

(773) 727-7548

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

New Southtown Medical Group S CGroup PAC ID 0547572349, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• New Southtown Medical Group S C

  • Family Medicine Physician
  • Darien, IL
  • NPI 1134508997
  Medicare reassignment Care Compare group
• Thompson Medical Incorporated

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1356814503
  Medicare reassignment Authorized official
• Zinger Medical Offices SC

  • Internal Medicine Physician
  • Lincolnwood, IL
  • NPI 1588840516
  Medicare reassignment
• Interventional Pain Medicine of Chicago SC

  • Pain Medicine (Anesthesiology) Physician
  • Lincolnwood, IL
  • NPI 1144844036
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1174930887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096109",
            "telephone_number": "773-727-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096109",
            "telephone_number": "773-727-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIDZA",
        "first_name": "THOMPSON",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dyson
• Steven O Dyson, LCPC
• Ema Dzaka-Dizdarevic, M.D.
• Selma Dzelil, PHARMD
• Brittney B Dzidza, PHARM D
• Katarzyna Dziediech Lopez, DDS
• Catherine Ann Dziedzic
• Agatha Natasha Dziedziech, DDS
• Daniel Michael Dziekan, D.C.
• Laura M. I. Dziekiewicz, LCSW

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.