Individual provider Active NPI

Thomas Fitzgerald O'Connell, MD

  • Cardiovascular Disease Physician
  • Elk Grove Village, IL
National Provider Identifier
1639564347
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036158079 Issued in IL
Practice address
800 Biesterfield Rd Ste G01/101
Elk Grove Village, IL 60007-3361
Phone
(847) 981-3680
NPI assigned
Mar 30, 2015
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036158079 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd Ste G01/101
Elk Grove Village, IL 60007-3361

Mailing address

800 Biesterfield Rd Ste G01/101
Elk Grove Village, IL 60007-3361
Phone (847) 981-3680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address toconnell589166@direct.beaumont.edu

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817002103 IL Practitioner - Cardiovascular Disease (Cardiology) 5496057713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexian Brothers Specialty GroupGroup PAC ID 0840465084, 45 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

935 Beisner Rd
Elk Grove Village, IL 60007-3475
Phone (847) 640-5600

955 Beisner Rd
Elk Grove Village, IL 60007-3475
Phone (847) 952-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
72.65
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036158079ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Jun 1, 2025 Accepting new patients
Alexian Brothers Specialty Group CurrentSince Aug 29, 2022 Accepting new patients
Presence Healthcare Services CurrentSince Jun 1, 2025 Accepting new patients

Locations

25883 Network Pl
Chicago, IL 60673

62311 Collection Ctr Dr
Chicago, IL 60693

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

1710 W Court St
Kankakee, IL 60901
Phone (815) 936-3200

Interoperability endpoints

  • Direct secure messaging: thomas.oconnell.p1@direct.cmi.nextgenshare.com
  • Direct secure messaging: toconnell589166@direct.beaumont.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1639564347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE G01/101",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-981-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE G01/101",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-981-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "THOMAS",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036158079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toconnell589166@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.