Individual provider Active NPI

Thomas Patrick Poepping, MD

  • Orthopaedic Surgery Physician
  • Fort Campbell, KY
National Provider Identifier
1306824727
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
36-107526 Issued in IL
Practice address
650 Joel Dr
Bach - Dept of Orthopedics
Fort Campbell, KY 42223-5318
Phone
(270) 798-8375
NPI assigned
Jan 5, 2006
Last updated
Sep 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 36-107526 IL Primary

Addresses

Primary practice location

650 Joel Dr
Bach - Dept of Orthopedics
Fort Campbell, KY 42223-5318

Mailing address

837 Glastonbury CT
Clarksville, TN 37043-5944
Phone (931) 368-9357

Other identifiers 1

IdentifierTypeStateIssuer
P01197599OtherINRAILROAD MEDICARE

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
I20101004001264 IL Practitioner - Orthopedic Surgery 4587856919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G and T Orthopaedics and Sports MedicineGroup PAC ID 6507821212, 3 clinicians

Practice addresses (Care Compare)

1200 S York St
Suite 4190
Elmhurst, IL 60126-5640
Phone (630) 782-1174

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36-107526ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramon a Garcia MD PC CurrentSince Jul 1, 2017 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

3538 W Fullerton Ave
Chicago, IL 60647
Phone (312) 640-1740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1306824727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 GLASTONBURY CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435944",
            "telephone_number": "931-368-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "BACH - DEPT OF ORTHOPEDICS",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEPPING",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "36-107526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01197599",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.