Individual provider Active NPI

Tom A Karnezis, MD

  • Orthopaedic Surgery Physician
  • Des Plaines, IL
National Provider Identifier
1679631188
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036085306 Issued in IL
Practice address
8901 Golf Rd
Ste 203
Des Plaines, IL 60016-4028
Phone
(847) 439-1200
Fax
(847) 439-1212
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036085306 IL Primary

Addresses

Primary practice location

8901 Golf Rd
Ste 203
Des Plaines, IL 60016-4028

Mailing address

8901 Golf Rd
Ste 203
Des Plaines, IL 60016-4028
Phone (847) 439-1200

Other identifiers 4

IdentifierTypeStateIssuer
036085306MedicaidIL
4985640001OtherDMERC
1633094OtherBCBS
P00012437OtherRRMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085306ILMDOrthopaedic Surgery Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1679631188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "STE 203",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164028",
            "telephone_number": "847-439-1200",
            "fax_number": "847-439-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "STE 203",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164028",
            "telephone_number": "847-439-1200",
            "fax_number": "847-439-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNEZIS",
        "first_name": "TOM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036085306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085306",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4985640001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1633094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00012437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.