Individual provider Active NPI

Thomas A Stern, MD

  • Internal Medicine Physician
  • Winnetka, IL
National Provider Identifier
1477592665
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-068539 Issued in IL
Practice address
525 Winnetka Ave
Winnetka, IL 60093-4050
Phone
(847) 501-4060
Fax
(847) 501-4063
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-068539 IL Primary

Addresses

Primary practice location

525 Winnetka Ave
Winnetka, IL 60093-4050

Mailing address

525 Winnetka Ave
Winnetka, IL 60093-4050
Phone (847) 501-4060

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
I20060426000364 IL Practitioner - Internal Medicine 6002826781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnetka Avenue Physicians SCGroup PAC ID 1557672334, 2 clinicians

Practice addresses (Care Compare)

525 Winnetka Ave
Winnetka, IL 60093-4050
Phone (847) 501-4060

Hospital & facility affiliations

  • Caress Home Health Care Inc Home health agency, Skokie, IL, CCN 147747
  • Residential Home Health Home health agency, Northbrook, IL, CCN 147001
  • Journeycare - Deerfield Hospice, Deerfield, IL, CCN 141527
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-068539ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winnetka Avenue Physicians, SC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
North Shore Physicians Group, LLC Internal Medicine Past Accepting new patients
North Shore Physicians Group, LLC PastSince May 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

525 Winnetka Ave
Ste 5
Winnetka, IL 60093

525 Winnetka Ave
Winnetka, IL 60093
Phone (847) 446-1112

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1477592665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934050",
            "telephone_number": "847-501-4060",
            "fax_number": "847-501-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WINNETKA AVE",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934050",
            "telephone_number": "847-501-4060",
            "fax_number": "847-501-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-068539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.