Active NPI
Thomas Kirts, M.D.
- Psychiatry Physician
- Sycamore, IL
National Provider Identifier
1376552505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036-041374
- Practice address
- 1850 Gateway Dr
Sycamore, IL 60178-3192 - Phone
- (815) 758-8671
- Fax
- (815) 758-5610
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-041374 | IL | Primary |
Addresses
Primary practice location
1850 Gateway Dr
Sycamore, IL 60178-3192
Mailing address
1850 Gateway Dr
Sycamore, IL 60178-3192
Phone (815) 758-8671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008457 | Other | IL | HEALTH ALLIANCE |
| 036041374 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-041374 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1376552505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-758-8671",
"fax_number": "815-758-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-758-8671",
"fax_number": "815-758-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTS",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-041374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "008457",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036041374",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
- Kindred Heathcare Operating, LLC
- Kindred Sycamore, LLC
- Kindred THC Chicago, LLC
- Kindred THC Chicago, LLC
- Darrin S King, D.D.S.
- Kishwaukee Cardiology Associates, LTD
- Kishwaukee Cardiology Associates, LTD.
- Kishwaukee Community Health Services Center
- Kishwaukee Corporate Health @Moi
- Kishwaukee Internist SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.