Individual provider Active NPI

Thomas James Rentfrow, M.D.

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1518990761
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-080231 Issued in IL
Practice address
6345 S East St
Suite a
Indianapolis, IN 46227-7107
Phone
(317) 783-7474
NPI assigned
Jul 9, 2006
Last updated
May 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-080231 IL Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 01058033A IN

Addresses

Primary practice location

6345 S East St
Suite a
Indianapolis, IN 46227-7107

Mailing address

205 E Santa Maria Ave
Effingham, IL 62401-3025
Phone (217) 347-5736

Other identifiers 3

IdentifierTypeStateIssuer
200474410MedicaidIN
036080231MedicaidIL
036080231-6MedicaidIL

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
I20050517000572 IL Practitioner - Emergency MedicinePractitioner - Nuclear Medicine 8426021437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

503 N Maple St
Effingham, IL 62401-2006
Phone (217) 347-1211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-080231ILMDEmergency Medicine Physician
01058033AINMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Crossroads Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Kennekuk Emergency Physicians LLC Emergency Medicine PastSince Oct 1, 2023 Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1518990761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E SANTA MARIA AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013025",
            "telephone_number": "217-347-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 S EAST ST",
            "address_2": "SUITE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277107",
            "telephone_number": "317-783-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTFROW",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-080231",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IN",
            "license": "01058033A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200474410",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080231",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080231-6",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.