Active NPI
Heals on Wheels Mobile Healthcare PLLC
- Family Medicine Physician
- Park Ridge, IL
National Provider Identifier
1649149402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALS ON WHEELS MOBILE HEALTHCARE PLLC
- Practice address
- 1480 Renaissance Dr Ste 102
Park Ridge, IL 60068-1351 - Phone
- (312) 493-0444
- NPI assigned
- Oct 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Thomas, MD
- Title
- Owner
- Phone
- (312) 493-0444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1480 Renaissance Dr Ste 102
Park Ridge, IL 60068-1351
Mailing address
1480 Renaissance Dr Ste 102
Park Ridge, IL 60068-1351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX, MI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251231001110 | IL | Part B Supplier - Clinic/Group Practice | 1254827017 |
Receives reassigned benefits from 9 practitioners Practice locations: Park Ridge, IL |
| O20260204000777 | TX | Part B Supplier - Clinic/Group Practice | 1254827017 |
Receives reassigned benefits from 7 practitioners Practice locations: Katy, TX |
| O20260406000153 | MI | Part B Supplier - Clinic/Group Practice | 1254827017 |
Receives reassigned benefits from 1 practitioner Practice locations: Grand Rapids, MI |
National Provider Directory
National Provider DirectoryLocations
1480 Renaissance Dr
Ste 102
Park Ridge, IL 60068
Phone (312) 493-0444
Practitioners & affiliated clinicians
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1649149402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 RENAISSANCE DR STE 102",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 RENAISSANCE DR STE 102",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681351",
"telephone_number": "312-493-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALS ON WHEELS MOBILE HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-493-0444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.