John Michael Thometz

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005882 Issued in IL

Practice address

750 E Terra Cotta Ave Ste C
Crystal Lake, IL 60014-3621

Phone

(414) 828-0182

NPI assigned

Jun 29, 2017

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Northern Illinois Foot and Ankle Specialists, LTDGroup PAC ID 1355566183, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crystal Home Health Care, LLC Home health agency, Des Plaines, IL, CCN 148073
• Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116
• Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jthometz291221@direct.myadvocateaurora.org

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.

• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Crystal Lake, IL
  • NPI 1851702302
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Northern Illinois Foot & Ankle Specialists, LTD

  • Foot & Ankle Surgery Podiatrist
  • Elgin, IL
  • NPI 1285267328
  NPD
• Northern Illinois Foot & Ankle Specialists, LTD

  • Podiatric Clinic/Center
  • Bloomingdale, IL
  • NPI 1427854215

  Foot & Ankle Surgery

  NPD
• Northern Illinois Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Lake in the Hills, IL
  • NPI 1760922504
  NPD (past)

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

• Crystal Home Health Care, LLC

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1225281520
  Care Compare affiliation
• Northern Illinois Medical Center

  dba Centegra Hospital McHenry

  • General Acute Care Hospital
  • McHenry, IL
  • NPI 1982611281
  Care Compare affiliation
• Saint Joseph Hospital - Elgin LLC

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1922846351
  Care Compare affiliation

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1386165389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 W VAN BUREN ST APT 609",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073594",
            "telephone_number": "414-828-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E TERRA COTTA AVE STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143621",
            "telephone_number": "414-828-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMETZ",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thiel
• Carissa Lynn Thiele, MS, CCC-SLP
• Misty Lynn Thillen, D.D.S.
• Lori J Thomas, LCSW, CADC, MISA
• Merrin Thomas, DPT
• Kaitlin Thompson, MS, CCC-SLP, CLC
• Justina Thurmond
• Krishna Tikiwala, DPM
• Timothy J. Hayes, Psy.D.P.C.
• TLC Centers for Therapy (Dream Riders)

• Foot & Ankle Surgery Podiatrist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.