Active NPI
Thomas Francis Byrne, M.D.
- Emergency Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2012005127
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226-5360 - Phone
- (618) 257-5879
- Fax
- (618) 257-6740
- NPI assigned
- Oct 5, 2006
- Last updated
- Aug 15, 2019
- 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 | 24736 | WV | |
| Emergency Medicine Physician | 207P00000X | 2012005127 | MO | Primary |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Mailing address
PO Box 7085
Jupiter, FL 33468-7085
Phone (618) 239-6565
Other practice location 1
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
Other practice location 2
100 Medical Plz
Lake St Louis, MO 63367-1366
Phone (636) 625-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930024249 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24736 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Hospitals, Inc. | Current | Accepting new patients | |
| West Virginia University Hospitals Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| West Virginia University Hospitals, Inc | Emergency Medicine | Past | Accepting new patients |
| Oklahoma Emergency Services PC | Emergency Medicine | Past | Accepting new patients |
Locations
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1598847634
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1992866214
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Rehabilitation Hospital Unit
- Morgantown, WV
- NPI 1760209225
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
-
dba WVUH Professional Group
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1740763952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565827200000",
"number": "1629164611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7085",
"city": "JUPITER",
"state": "FL",
"postal_code": "334687085",
"telephone_number": "618-239-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-257-5879",
"fax_number": "618-257-6740"
}
],
"practiceLocations": [
{
"address_1": "1015 Bowles Ave",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630262394",
"country_code": "US",
"telephone_number": "636-496-2000",
"fax_number": "314-996-1681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Plz",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671366",
"country_code": "US",
"telephone_number": "636-625-5200",
"fax_number": "636-625-5314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRNE",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2019-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "24736",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2012005127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930024249",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.