Thomas E Bleasdale, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-104677 Issued in IL

Practice address

5999 New Wilke Rd
Suite 200, BLDG 2
Rolling Meadows, IL 60008-4506

Phone

(847) 255-7107

Fax

(847) 255-7031

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  IL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Northwest Community Health Services Inc

  • Internal Medicine Physician
  • Arlington Heights, IL
  • NPI 1134433154

  IL, Internal Medicine

  Medicare reassignment NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Northwest Community Health Services Inc

  • Obstetrics Physician
  • Arlington Heights, IL
  • NPI 1467057513
  NPD

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

• Family Home Health Services, Inc.

  • Home Health Agency
  • Addison, IL
  • NPI 1164474565
  Care Compare affiliation
• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1578932869

  Hospital

  Care Compare affiliation
• Northwest Community Hospital

  • General Acute Care Hospital
  • Arlington Heights, IL
  • NPI 1770531600

  Hospital

  Care Compare affiliation
• Residential Home Health Illinois, LLC

  • Home Health Agency
  • Schaumburg, IL
  • NPI 1003562679
  Care Compare affiliation

Specialty

Internal Medicine

Education

Rush Medical College of Rush University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Health Medical Group 3,330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Schaumburg, IL, CCN 147094
• Family Home Health Services, Inc Home health agency, Addison, IL, CCN 147712
• Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score

84.9 of 100Reported as group

Quality

75.91

Promoting interoperability

99

Improvement activities

40

Cost

74.6

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbleasdale24811@direct.nch.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1366443731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "SUITE 200, BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "SUITE 200, BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEASDALE",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-104677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbleasdale24811@direct.nch.org",
            "affiliation": "N",
            "address_1": "5999 New Wilke Rd",
            "address_2": "Suite 200, BLDG 2",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Rolling Meadows, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.