Active NPI
Alex Thomas, M.D.
- Allergy Physician
- Chicago, IL
National Provider Identifier
1265632574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 336.135822
- Practice address
- 4014 N Central Ave
Chicago, IL 60634-1832 - Phone
- (773) 283-9594
- Fax
- (773) 283-6711
- NPI assigned
- Jul 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 53149 | WI | |
| Allergy Physician | 207KA0200X | 336.135822 | IL | Primary |
Addresses
Primary practice location
4014 N Central Ave
Chicago, IL 60634-1832
Mailing address
4014 N Central Ave
Chicago, IL 60634-1832
Phone (773) 283-9594
Other practice location 1
520 E Northwest Hwy
Mount Prospect, IL 60056-3306
Phone (847) 255-3050
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Rush Medical College of Rush University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4014 N Central Ave
Chicago, IL 60634-1832
Phone (773) 283-9594
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336.135822 | IL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Korathu Thomas, MD, S.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEDIBA/Endpoint/JEDIBA
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Chicago, IL
- NPI 1417351305
-
- Infusion Therapy Clinic/Center
- Chicago, IL
- NPI 1962709253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1265632574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 N CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341832",
"telephone_number": "773-283-9594",
"fax_number": "773-283-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 N CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606341832",
"telephone_number": "773-283-9594",
"fax_number": "773-283-6711"
}
],
"practiceLocations": [
{
"address_1": "520 E Northwest Hwy",
"address_purpose": "LOCATION",
"city": "Mount Prospect",
"state": "IL",
"postal_code": "600563306",
"country_code": "US",
"telephone_number": "847-255-3050",
"fax_number": "773-283-6711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "WI",
"license": "53149",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "336.135822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 11, 2025; 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.