Robert D. Thomas, M.D.
Individual provider Active NPI Otolaryngology Physician · Chicago HTS, IL
NPI 1699733774 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1699733774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 036.111289 (IL)
- Practice address
- 333 Dixie Hwy
Chicago HTS, IL 60411-1748 - Phone
- (708) 756-0100
- Fax
- (708) 709-6353
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Progressive Rehabilitation Associates LLC
ENT Medical Services PC
ENT Medical Services Sleep Center PLC
Practice addresses (Care Compare)
1130 S Scott Blvd
Iowa City, IA 52240-2909
Phone (319) 354-2429
2615 Northgate Dr
Iowa City, IA 52245-9502
Phone (319) 351-5680
2901 Northgate Dr
Suite a
Iowa City, IA 52245-9504
Phone (319) 338-2101
Hospital & facility affiliations
- Compass Memorial Healthcare
- Trinity Muscatine
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022001179 | IL | Practitioner - Otolaryngology |
5496716334 | |
| I20200116001484 | IA | Practitioner - Otolaryngology |
5496716334 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.111289 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| ENT Medical Services Sleep Center PLC | Current |
Accepting new patients | |
| ENT Medical Services PC | Current |
Accepting new patients | |
| ENT Medical Services Hearing Aid Services | Past | Accepting new patients |
Locations
2615 Northgate Dr
Iowa City, IA 52245
Phone (319) 337-6879
2901 Northgate Dr
Ste A
Iowa City, IA 52245
Phone (319) 338-2101
Interoperability endpoints
- rthomas732421@direct.unitypoint.org
- robert.thomas@entmedicalservices.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036111289 | IL | |
| Otolaryngology Physician | 207Y00000X | 036.111289 | IL | Yes |
Addresses
Primary practice location
333 Dixie Hwy
Chicago HTS, IL 60411-1748
Mailing address
333 Dixie Hwy
Chicago HTS, IL 60411-1748
Phone (708) 756-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036111289 | Medicaid | IL | |
| 4673170001 | Other | IL | DMERC |
| P00155004/CK6882 | Other | IL | RAILROAD MEDICARE |
Other providers in Chicago HTS, IL
- Ghanshyam M Patel
- Patient Care Medics Inc
- Neal H Rosner
- Edward H Shpritz
- Fatima Sultan
- Patricia Tiernan
- Wellgroup Healthpartners Pharmacy
- Sherie L Zevenhouse
All providers in Chicago HTS, IL · Otolaryngology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.