Active NPI
Thomas James Rentfrow, M.D.
- Emergency Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-080231
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200474410 | Medicaid | IN | |
| 036080231 | Medicaid | IL | |
| 036080231-6 | Medicaid | IL |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-080231 | IL | MD | Emergency Medicine Physician |
| 01058033A | IN | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | 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 | Past | 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.
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- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Greenville, IL
- NPI 1225537137
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1417996430
-
- Emergency Medicine Physician
- Effingham, IL
- NPI 1023033982
-
- Emergency Medicine Physician
- Greenville, IL
- NPI 1730426941
-
- Emergency Medicine Physician
- Danville, IL
- NPI 1164447058
-
- Emergency Medicine Physician
- Danville, IL
- NPI 1659523777
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.