Individual provider Active NPI

Thomas A Deutsch, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1215089982
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036 060490 Issued in IL
Practice address
1725 W Harrison St
Suite 918
Chicago, IL 60612-3841
Phone
(312) 942-2734
Fax
(312) 942-2156
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036 060490 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 918
Chicago, IL 60612-3841

Mailing address

1725 W. Harrison St
Suite 918
Chicago, IL 60612
Phone (312) 942-2734

Other identifiers 1

IdentifierTypeStateIssuer
036060490MedicaidIL

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
I20090116000413 IL Practitioner - Ophthalmology 4981653748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center Physicians, LTD.Group PAC ID 2567411325, 36 clinicians
University Ophthalmology Associates, LTDGroup PAC ID 4284728007, 12 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 906
Chicago, IL 60612-3848
Phone (312) 942-5315

1725 W Harrison St
Suite 918
Chicago, IL 60612-3863
Phone (312) 942-2734

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036 060490ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
University Ophthalmology Associates, LTD Ophthalmology CurrentSince Jan 1, 2008 Accepting new patients
Eye Center Physicians, LTD. Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients

Locations

1725 W Harrison St
Ste 918
Chicago, IL 60612
Phone (312) 942-2734

75 Remittance Dr
Dept 1283
Chicago, IL 60675

1725 W Harrison St
Ste 906
Chicago, IL 60612
Phone (312) 733-7566

Interoperability endpoints

  • Direct secure messaging: tdeutsch4141@direct.rush.rush-health.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 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1215089982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W. HARRISON ST",
            "address_2": "SUITE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-942-2734",
            "fax_number": "312-942-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 918",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-2734",
            "fax_number": "312-942-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036 060490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.