Individual provider Active NPI

Trevor J Slom, MD

  • Infectious Disease Physician
  • Arlington Heights, IL
National Provider Identifier
1740257484
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036-095393 Issued in IL
Practice address
880 W. Central Rd.
Suite 8100
Arlington Heights, IL 60005
Phone
(847) 255-5030
Fax
(847) 255-0156
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036-095393 IL Primary

Addresses

Primary practice location

880 W. Central Rd.
Suite 8100
Arlington Heights, IL 60005

Mailing address

880 W. Central Rd.
Suite 8100
Arlington Heights, IL 60005
Phone (847) 255-5030

Other identifiers 5

IdentifierTypeStateIssuer
0001636111OtherILBLUE CROSS BLUE SHIELD OF IL
205454606MedicaidMO
036095393MedicaidIL
615318700OtherILUS DEPT OF LABOR - 2222 DIVISION, CHICAGO LOCATION
615318701OtherILUS DEPT OF LABOR-2001 CALIFORNIA, CHICAGO LOCATION

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000186 IL Practitioner - Infectious Disease 6002959830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.01 of 100Reported as group
Quality
90.02
Improvement activities
40
Cost
78.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-095393ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Current Accepting new patients
Carlos H Zambrano MD LLC Infectious Disease Past Accepting new patients
Infectious Diseases PC Infectious Disease Past Accepting new patients
Infectious Diseases, PC Infectious Disease Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1740257484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W. CENTRAL RD.",
            "address_2": "SUITE 8100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-255-5030",
            "fax_number": "847-255-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W. CENTRAL RD.",
            "address_2": "SUITE 8100",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-255-5030",
            "fax_number": "847-255-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOM",
        "first_name": "TREVOR",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-095393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "0001636111",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205454606",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095393",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR - 2222 DIVISION, CHICAGO LOCATION",
            "identifier": "615318700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR-2001 CALIFORNIA, CHICAGO LOCATION",
            "identifier": "615318701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.