Individual provider Active NPI

Thomas Pontinen, M.D.

  • Anesthesiology Physician
  • Des Plaines, IL
National Provider Identifier
1467617514
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036129262 Issued in IL
Practice address
9700 Golf Road
Des Plaines, IL 60016-6001
Phone
(773) 482-5800
NPI assigned
Jul 28, 2008
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036129262 IL Primary
Interventional Pain Medicine Physician 208VP0014X 036129262 IL

Addresses

Primary practice location

9700 Golf Road
Des Plaines, IL 60016-6001

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522
Phone (773) 482-5800

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address tpontinen278555@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140728001165 IL Practitioner - Pain ManagementPractitioner - Anesthesiology 3274759220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3545 Rose St
Franklin Park, IL 60131-2068
Phone (847) 671-0555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia and Pain Specialists, SC Anesthesiology CurrentSince Aug 1, 2014 Accepting new patients
Midwest Anesthesia and Pain Specialists SC CurrentSince Aug 1, 2014 Accepting new patients
Illinois Anesthesia Specialists LLC Anesthesiology CurrentSince Apr 13, 2016 Accepting new patients
Sahag LLC Anesthesiology Past Accepting new patients

Locations

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

1644 E 53rd St
Ste 108A
Chicago, IL 60615

2923 N California Ave
Ste 210
Chicago, IL 60618
Phone (773) 348-6876

4354 W 63rd St
Chicago, IL 60629
Phone (773) 482-5800

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 482-5800

9680 Golf Rd
Fl 2
Des Plaines, IL 60016
Phone (708) 987-3795

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

3545 Rose St
Franklin Park, IL 60131
Phone (847) 671-0555

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 342-1143

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1467617514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "773-482-5800",
            "fax_number": "773-767-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 GOLF ROAD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166001",
            "telephone_number": "773-482-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTINEN",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036129262",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036129262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9700 Golf Road",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600166001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpontinen278555@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9700 Golf Road",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600166001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.