Individual provider Active NPI

Thomas Meersman, PA-C

  • Physician Assistant
  • Schaumburg, IL
National Provider Identifier
1609072883
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-002872 Issued in IL
Practice address
618 Manomet CT
Schaumburg, IL 60173-4727
Phone
(847) 882-2030
Fax
(847) 294-1954
NPI assigned
Jun 25, 2007
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 085-002872 IL Primary

Addresses

Primary practice location

618 Manomet CT
Schaumburg, IL 60173-4727

Mailing address

766 Downing PL
Geneva, IL 60134-3487
Phone (847) 989-5676

Other practice location 1

1 Executive Ct Ste 1
South Barrington, IL 60010-9533
Phone (847) 542-4261

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080701000409 IL Practitioner - Physician Assistant 9133291404 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

661 S Peace Rd
Suite 101
Sycamore, IL 60178-1642
Phone (815) 991-3571

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-002872ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Doctors on Site, LTD CurrentSince Apr 23, 2023 Accepting new patients
Central Dupage Hospital Association CurrentSince Mar 2, 2016 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 1, 2020 Accepting new patients
Cepamerica Illinois LLP CurrentSince Feb 1, 2020 Accepting new patients
From Pain to Wellness, LLC CurrentSince Sep 15, 2022 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Midwest Illinois Six Medical Group, PLLC Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

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

1 Transam Plaza Dr
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 627-7500

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1 Executive Ct
Ste 1
South Barrington, IL 60010
Phone (847) 388-0929

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1609072883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 DOWNING PL",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343487",
            "telephone_number": "847-989-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MANOMET CT",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734727",
            "telephone_number": "847-882-2030",
            "fax_number": "847-294-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Executive Ct Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Barrington",
            "state": "IL",
            "postal_code": "600109533",
            "country_code": "US",
            "telephone_number": "847-542-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEERSMAN",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-002872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.