Active NPI
Tarita O Thomas, MD, PHD
- Radiation Oncology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036125671
- Practice address
- 251 E Huron St Ste LC-178
Chicago, IL 60611-2908 - Phone
- (312) 926-2520
- Fax
- (312) 926-6374
- NPI assigned
- May 31, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 036125671 | IL | Primary |
| Radiation Oncology Physician | 2085R0001X | 4301503266 | MI |
Addresses
Primary practice location
251 E Huron St Ste LC-178
Chicago, IL 60611-2908
Mailing address
251 E Huron St Ste LC-178
Chicago, IL 60611-2908
Phone (312) 926-2520
Other practice location 1
2799 W Grand Blvd
Detroit, MI 48202-2689
Phone (800) 653-6568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Northwestern University Feinberg Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3535 N Bell School Rd
Regional Cancer Center
Rockford, IL 61114-6624
Phone (779) 696-9400
Hospital & facility affiliations
- Uw Health
- Northwestern Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036125671 | IL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| W a Foote Memorial Hospital Inc | Radiation Oncology | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Swedishamerican Hospital | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
3535 N Bell School Rd
Rockford, IL 61114
Phone (779) 696-9400
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1102 E Michigan Ave
Jackson, MI 49201
Phone (517) 205-7299
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Family Medicine Physician
- Rockford, IL
- NPI 1619029881
-
- Therapeutic Radiology Physician
- Detroit, MI
- NPI 1598836033
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Clinton Township, MI
- NPI 1598802936
-
- Radiation Oncology Physician
- Jackson, MI
- NPI 1144883620
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1659572014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST STE LC-178",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-926-2520",
"fax_number": "312-926-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST STE LC-178",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-926-2520",
"fax_number": "312-926-6374"
}
],
"practiceLocations": [
{
"address_1": "2799 W Grand Blvd",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482022689",
"country_code": "US",
"telephone_number": "800-653-6568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "TARITA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036125671",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MI",
"license": "4301503266",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.