Thomas H Patterson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036-065538 Issued in IL

Practice address

834 N Seminary St
Suite 502
Galesburg, IL 61401-2852

Phone

(309) 343-2262

Fax

(309) 343-2081

NPI assigned

Jul 9, 2005

Last updated

Nov 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Urology

Education

Columbia University College of Physicians and Surgeons, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Graham Hospital Association Hospital, Canton, IL, CCN 140001
• Graham Hospital Association Hospital, Canton, IL, CCN 141356
• St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
• Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1780692087
  Medicare reassignment Care Compare group NPD
• McDonough County Hospital District

  dba McDonough Eye Care

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082
  Medicare reassignment NPD
• Graham Hospital Association

  dba Graham Medical Group Galesburg

  • Rural Health Clinic/Center
  • Galesburg, IL
  • NPI 1194462101
  NPD
• Graham Hospital Association

  dba Knox & Fulton County Wound and Hyperbaric Medicine

  • Internal Medicine Physician
  • Galesburg, IL
  • NPI 1710845854
  NPD
• McDonough County Hospital District

  dba MDH Community Pharmacy

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  NPD
• McDonough County Hospital District

  dba McDonough Medical Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Macomb, IL
  • NPI 1396055869
  NPD

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

• Graham Hospital Association

  • Critical Access Hospital
  • Canton, IL
  • NPI 1154117521
  Care Compare affiliation
• Osf Healthcare System

  dba Osf Holy Family Medical Center

  • Critical Access Hospital
  • Monmouth, IL
  • NPI 1548393184
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Saint Mary Medical Center

  • General Acute Care Hospital
  • Galesburg, IL
  • NPI 1164485363
  Care Compare affiliation

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1568460970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 502",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-2262",
            "fax_number": "309-343-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "SUITE 502",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-2262",
            "fax_number": "309-343-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-065538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036065538",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "04823538",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROV #",
            "identifier": "689572",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PROV #",
            "identifier": "034041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROV #",
            "identifier": "340017812",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE PROV #",
            "identifier": "IL0101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Subash Paralikar, M.D.
• Debora Sue Parrish, PTA
• Karen Lynn Pasko, RPH
• Kishorbhai K Patel, M.D.
• Path Lab Diagnostic Services, LLC
• Jessica Renee Paul, OWNER
• Wendy Michelle Paul, PT
• Keith Peachey, M.D.
• Peck Shulk Chiropractic, PLLC
• Teresa G Peck, DC

• Urology Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.

Verify at the official NPI Registry.