Active NPI
Thomas F Mientus, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036084906
- Practice address
- 660 N Westmoreland
Lake Forest Hospital
Lake Forest, IL 60045-1696 - Phone
- (847) 234-0049
- Fax
- (847) 234-1946
- NPI assigned
- Mar 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036084906 | IL | Primary |
Addresses
Primary practice location
660 N Westmoreland
Lake Forest Hospital
Lake Forest, IL 60045-1696
Mailing address
75 Remittance Dr
Ste 1895
Chicago, IL 60675-1895
Phone (847) 234-0049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220021761 | Other | IL | RR MCR |
| 0360849066 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Rush Medical College of Rush University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 S Arlington Heights Rd
Arlington Heights, IL 60005-3765
Phone (847) 660-7755
1539 S Waukegan Rd
Waukegan, IL 60085-6727
Phone (847) 549-1312
745 Fletcher Dr
Suite 202
Elgin, IL 60123-4749
Phone (847) 888-1300
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Consolidated Pathology Consultants, SC | Past | Accepting new patients | |
| Consolidated Pathology Consultants SC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
20 Tower Ct
Ste F
Gurnee, IL 60031
Phone (847) 662-9420
14052 W Petronella Dr
Ste 201
Libertyville, IL 60048
Phone (847) 549-1312
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
Anatomic Pathology & Clinical Pathology
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
- Anatomic Pathology & Clinical Pathology Physician
- Lake Forest, IL
- NPI 1003884206
-
- Clinical Pathology/Laboratory Medicine Physician
- Libertyville, IL
- NPI 1174762256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1649248824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITTANCE DR",
"address_2": "STE 1895",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606751895",
"telephone_number": "847-234-0049",
"fax_number": "847-234-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 N WESTMORELAND",
"address_2": "LAKE FOREST HOSPITAL",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451696",
"telephone_number": "847-234-0049",
"fax_number": "847-234-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIENTUS",
"first_name": "THOMAS",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036084906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "220021761",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360849066",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.