Victor L Thomas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036078052 Issued in IL

Practice address

9718 S Halsted St
Chicago, IL 60628-1007

Phone

(773) 233-4100

Fax

(773) 233-4055

NPI assigned

Apr 6, 2006

Last updated

Oct 30, 2015By 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 1

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

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Community Health CenterGroup PAC ID 4284533183, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victor.thomas.1@14868.direct.athenahealth.com

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.

• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1790888238
  Medicare reassignment Care Compare group NPD
• Urban Home Physicians, Inc.

  • Primary Care Clinic/Center
  • Oak Park, IL
  • NPI 1295900322
  NPD (past) Authorized official
• Christian Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lansing, IL
  • NPI 1750619680
  NPD
• Chicago Reach Foundation

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1497747026

  Internal Medicine

  NPD (past)
• Optimal Potential, Inc.

  • Occupational Therapist
  • Dolton, IL
  • NPI 1376677153
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1619939212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MADISON ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024091",
            "telephone_number": "708-445-0898",
            "fax_number": "708-445-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "773-233-4100",
            "fax_number": "773-233-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VICTOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036078052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078052",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarita O Thomas, MD, PHD
• Teshiauna Thomas
• Tiffany Thomas
• Tin Tin Thomas, M.D.
• Tony Mathew Thomas
• William Christian Thomas, M.D.
• Lori Thomason, LCSW
• Tara Thomason, J.D., M.S.W.
• Matthew Thomay
• Laura Thometz Puglessi

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.