Individual provider Active NPI

Joseph S Thomas, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1477504579
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036068845 Issued in IL
Practice address
9727 S Western Ave
Chicago, IL 60643-1723
Phone
(773) 881-3400
Fax
(773) 881-0777
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 036068845 IL
Obstetrics & Gynecology Physician 207V00000X 036068845 IL Primary

Addresses

Primary practice location

9727 S Western Ave
Chicago, IL 60643-1723

Mailing address

9727 S Western Ave
Chicago, IL 60643-1723
Phone (773) 881-3400

Other practice location 1

2315 E 93rd St Ste 236
Chicago, IL 60617-3984
Phone (773) 881-3400

Other identifiers 4

IdentifierTypeStateIssuer
036068845MedicaidIL
14D881319OtherILCLIA
P00448369OtherILRAILROAD MEDICARE
31601157OtherILBLUE CROSS BLUE SHILED

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
I20041022001066 IL Practitioner - Obstetrics/Gynecology 0345201273 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10814 S Halsted St
Chicago, IL 60628-3126
Phone (773) 881-3400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036068845ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corp. CurrentSince Oct 1, 2013 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2013 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation Current Accepting new patients
MSMC Investors, LLC Obstetrics & Gynecology Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

2315 E 93rd St
Ste 236
Chicago, IL 60617
Phone (630) 571-1100

9727 S Western Ave
Chicago, IL 60643
Phone (773) 881-3400

10811 W 143rd St
Ste 100
Orland Park, IL 60467
Phone (708) 460-2500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1477504579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400",
            "fax_number": "773-881-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431723",
            "telephone_number": "773-881-3400",
            "fax_number": "773-881-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 E 93rd St Ste 236",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173984",
            "country_code": "US",
            "telephone_number": "773-881-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036068845",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036068845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068845",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D881319",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00448369",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "31601157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.