Thomas A Heggen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036074991 Issued in IL

Practice address

1300 Busch Pkwy
Buffalo Grove, IL 60089-4505

Phone

(847) 850-5882

Fax

(845) 850-5892

NPI assigned

Oct 4, 2005

Last updated

Mar 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Aesthetics and Body Sculpture, LLC

  • Specialist
  • Shorewood, IL
  • NPI 1609017011
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1710974860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 STATION PARK DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302719",
            "telephone_number": "847-850-5882",
            "fax_number": "847-850-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894505",
            "telephone_number": "847-850-5882",
            "fax_number": "845-850-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGEN",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074991",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036074991",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036074991",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036074991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Haugh
• Heal Health Medical Supplies LLC
• Health Technology Resources, LLC (Quipt Home Medical Buffalo Grove)
• Robert Irwin Hecht, D.D.S.
• Erica Hedges, A.T.C
• Mara Heichman, OTR/L
• Erika Heisen
• M Bill Hellyer, MS, OTR/L
• Elaine Hengstler
• Mary Patricia Henke

• Internal Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.