NPIMap

Organization Active NPI

Heals on Wheels Mobile Healthcare PLLC

  • Family Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1649149402
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Andrew Thomas, MDNPI 1922686013
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

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.

Verify at the official NPI Registry.