Thomas R Scaggs, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036084057 Issued in IL

Practice address

611 W. Park Street
Emergency Medicine
Urbana, IL 61801

Phone

(217) 383-4930

Fax

(217) 383-4014

NPI assigned

Apr 20, 2006

Last updated

May 12, 2014By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: tscaggsmd129596@carlehiedirect.net

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kirby Medical Center

  • Skilled Nursing Facility
  • Monticello, IL
  • NPI 1437140027

  Corporate Director

  CMS ownership
• Kirby Medical Center

  • Rural Health Clinic/Center
  • Cerro Gordo, IL
  • NPI 1508219288

  Corporate Director

  CMS ownership
• Kirby Medical Center

  dba Kirby Medical Group

  • Rural Health Clinic/Center
  • Monticello, IL
  • NPI 1558527259

  Corporate Director

  CMS ownership
• Kirby Medical Center

  dba Kirby Ambulance

  • Land Ambulance
  • Monticello, IL
  • NPI 1598869133

  Corporate Director

  CMS ownership
• Kirby Medical Center

  • Critical Access Hospital
  • Monticello, IL
  • NPI 1730179847

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1245295187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W. PARK STREET",
            "address_2": "EMERGENCY MEDICINE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801",
            "telephone_number": "217-383-4930",
            "fax_number": "217-383-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGGS",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036084057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-084057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalika P Sarma, M.D.
• Vinessa Marie Rocero Sarol, APRN
• Sandhya D. Sarwate, M.D.
• Sanjivani Ashok Sathe, MD
• Asma Sattar, MD
• Benjamin Edward Schaefer, D.D.S.
• Sarah Schaul, DO
• Patricia Scheets, PT, DPT
• Amy S Schimmel, NP
• Peter Schlake, MD

• Emergency Medicine Physician in Urbana, IL
• Providers in Urbana, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.