Thomas Hatley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036093232 Issued in IL

Practice address

20613 N Broad St
Carlinville, IL 62626

Phone

(217) 368-3114

NPI assigned

Jul 11, 2006

Last updated

Jul 19, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, OK2 enrollments

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 2

Specialty

Internal MedicineAlso: Preventive Medicine

Education

Washington University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlinville Area Hospital AssociationGroup PAC ID 9032021373, shared by 6 NPIs, 25 clinicians

Sanburg Emergency Group, P.C.Group PAC ID 4688003957, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
• Direct secure messaging: thomashatley@cah.allscriptsdirect.net

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Macoupin County Public Health Department

  dba St Francis Way Clinic

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1720687841

  Corporate Officer

  CMS ownership
• Macoupin County Public Health Department

  dba Columbian Boulevard Dental Clinic

  • Federally Qualified Health Center (FQHC)
  • Litchfield, IL
  • NPI 1831798958

  Corporate Officer

  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.

• Sanburg Emergency Group, P.C.

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1992337000
  Medicare reassignment Care Compare group NPD
• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Medicare reassignment NPD
• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1932275641
  Medicare reassignment
• Carlinville Area Hospital Association

  dba Carlinville Family Health Care

  • Rural Health Clinic/Center
  • Carlinville, IL
  • NPI 1992020499
  NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764
  NPD
• Carlinville Area Hospital Association

  dba Carlinville Area Hospital Association - Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Carlinville, IL
  • NPI 1275609109
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1326073073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20613 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263720",
            "telephone_number": "217-854-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20613 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "62626",
            "telephone_number": "217-368-3114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20733 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Carlinville",
            "state": "IL",
            "postal_code": "626263710",
            "country_code": "US",
            "telephone_number": "217-854-3141",
            "fax_number": "217-854-3894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATLEY",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-093232",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036093232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg L Laws MD
• Hallmark Healthcare of Carlinville LLC
• Hallmark Healthcare of Carlinville LLC
• Hallmark Healthcare of Carlinville LLC
• Wendy L Harmon, LCSW
• Lisa Hauter, LCSW CSADF
• Gayle M. Hebner, D.C.
• Keith T Hedrick, OD
• Cheyenne Mackenzie Hellmann
• Heritage Manor - Carlinville, L.L.C.

• Family Medicine Physician in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.
• 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.

Verify at the official NPI Registry.