Individual provider Active NPI

Alex Thomas, M.D.

  • Allergy Physician
  • Chicago, IL
National Provider Identifier
1265632574
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
336.135822 Issued in IL
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

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150403000610 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 2769646561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
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

LicenseStateTypeSpecialty
336.135822ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Korathu Thomas, MD, S.C. PastSince Feb 23, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.