Active NPI
Korathu Thomas, MD
- Hematology & Oncology Physician
- Chicago, IL
National Provider Identifier
1376565390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036053507
- Practice address
- 2222 W Division St
Ste 210
Chicago, IL 60622 - Phone
- (773) 227-8870
- Fax
- (312) 770-3208
- NPI assigned
- Jul 25, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036053507 | IL | Primary |
Addresses
Primary practice location
2222 W Division St
Ste 210
Chicago, IL 60622
Mailing address
2222 W Division St
Suite 210
Chicago, IL 60622
Phone (773) 227-8870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036053507 | 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 |
|---|---|---|---|
| 036053507 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Korathu Thomas, M.D. | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1336447150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1376565390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST",
"address_2": "SUITE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "773-227-8870",
"fax_number": "312-772-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W DIVISION ST",
"address_2": "STE 210",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60622",
"telephone_number": "773-227-8870",
"fax_number": "312-770-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KORATHU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036053507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036053507",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.