Active NPI
Theresa Marie McCarthy, D.O.
- Physical Medicine & Rehabilitation Physician
- Oak Forest, IL
National Provider Identifier
1295883791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036-088685
- Practice address
- 15900 South Cicero Ave
Oak Forest, IL 60452 - Phone
- (708) 633-3091
- Fax
- (708) 633-2006
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | 036-088685 | IL | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 036-088685 | IL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036-088685 | IL | Primary |
Addresses
Primary practice location
15900 South Cicero Ave
Oak Forest, IL 60452
Mailing address
15900 South Cicero Ave
Oak Forest, IL 60452
Phone (708) 633-3091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-088685 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmccarthy@direct.ccprovider.org | Direct | Cook County |
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
- Physical Medicine and Rehabilitation
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
Hospital & facility affiliations
- John H Stroger Jr Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-088685 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Cook County | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients |
Locations
12757 Western Ave
Blue Island, IL 60406
Phone (708) 293-8400
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
Interoperability endpoints
- tmccarthy@direct.ccprovider.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Physical Medicine & Rehabilitation
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
Hospital & facility affiliations 27
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": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1295883791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "60452",
"telephone_number": "708-633-3091",
"fax_number": "708-633-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15900 SOUTH CICERO AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "60452",
"telephone_number": "708-633-3091",
"fax_number": "708-633-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "IL",
"license": "036-088685",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "IL",
"license": "036-088685",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036-088685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-088685",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmccarthy@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.