Fred M Tomera, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Practice address

7579 W Lake St
River Forest, IL 60305

Phone

(708) 386-0284

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By 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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407994213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 W LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "60305",
            "telephone_number": "708-386-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 W LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "60305",
            "telephone_number": "708-386-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMERA",
        "first_name": "FRED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Joanne Tepper, LCSW
• Teresa McKenzie, M.D., LLC
• Terrie L Weir Medical PC
• Esther Thomas, PT
• Jasmine Brie Timmester, MA
• Mark Tomera, MD
• Daniel G. Torres, M.D.
• Elizabeth Treatman, M.A., CCC-SLP
• Robin Ann Uchitelle, MD
• Russell Paul Umbricht, DDS

• Urology Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.