Organization Active NPI

Thomas L Pitts, MD LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1497251037
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
03656168 Issued in IL
Legal business name
THOMAS L PITTS, MD LLC
Practice address
233 E Erie St Ste 702
Chicago, IL 60611-5933
Phone
(312) 763-2211
Fax
(312) 763-2210
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Jennifer Bruno
Title
Office Manager
Phone
(312) 763-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 03656168 IL Primary

Addresses

Primary practice location

233 E Erie St Ste 702
Chicago, IL 60611-5933

Mailing address

233 E Erie St Ste 702
Chicago, IL 60611-5933
Phone (312) 763-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180330000143 IL Part B Supplier - Clinic/Group Practice 7012279193 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

233 E Erie St
Ste 614
Chicago, IL 60611
Phone (312) 703-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1497251037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST STE 702",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115933",
            "telephone_number": "312-763-2211",
            "fax_number": "312-763-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E ERIE ST STE 702",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115933",
            "telephone_number": "312-763-2211",
            "fax_number": "312-763-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L PITTS, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-763-2211"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "03656168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.