Individual provider Active NPI

Thomas S Hans Jr., PA-C

  • Physician Assistant
  • Rockford, IL
National Provider Identifier
1750369914
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004254 Issued in IL
Practice address
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone
(815) 398-9491
Fax
(815) 381-7498
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004254 IL Primary

Addresses

Primary practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Other practice location 1

9650 Gross Point Rd Ste 2900
Skokie, IL 60076-5006
Phone (847) 866-7846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thans6250@direct.nch.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000404 IL Practitioner - Physician Assistant 2567637135 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

1625 N Harlem Ave
Chicago, IL 60707-4303

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

1725 W Harrison St
Suite 1159
Chicago, IL 60612-3883
Phone (312) 942-5020

1725 W Harrison St
Suite 450
Chicago, IL 60612-4828
Phone (312) 563-4238

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
624WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2021 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince Aug 1, 2014 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Orthomidwest, PLLC Physician Assistant CurrentSince Oct 13, 2023 Accepting new patients
Northwest Community Health Services Inc Physician Assistant CurrentSince Aug 1, 2014 Accepting new patients
Orthomidwest, PLLC CurrentSince Oct 13, 2023 Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2021 Accepting new patients
Rush University Medical Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1632 W Central Rd
Arlington Hts, IL 60005
Phone (847) 253-8050

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

75 Remittance Dr
Dept 1611
Chicago, IL 60675

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270

535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717

9650 Gross Point Rd
Ste 2900
Skokie, IL 60076

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1750369914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735263",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144937",
            "telephone_number": "815-398-9491",
            "fax_number": "815-381-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9650 Gross Point Rd Ste 2900",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600765006",
            "country_code": "US",
            "telephone_number": "847-866-7846",
            "fax_number": "847-866-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANS",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thans6250@direct.nch.org",
            "affiliation": "N",
            "address_1": "1632 West Central Road",
            "address_2": "Northwest Heart Specialists, S.C.",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.