Thomas I Joseph, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036124271 Issued in IL

Practice address

4736 Cal Sag Rd Ste a
Crestwood, IL 60418-1423

Phone

(312) 421-1016

Fax

(708) 390-7001

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.joseph.1@14940.direct.athenahealth.com

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.

• Dupage Emergency Physicians Convenient Care LLC

  • Emergency Medicine Physician
  • Lemont, IL
  • NPI 1922000363

  Family Medicine

  Medicare reassignment NPD
• Marathon Health, LLC

  • Non-Pharmacy Dispensing Site
  • Crestwood, IL
  • NPI 1346915600
  NPD
• Marathon Health, LLC

  • Clinic/Center
  • Crestwood, IL
  • NPI 1790444974
  NPD
• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1770599797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 CAL SAG RD STE A",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181423",
            "telephone_number": "312-421-1016",
            "fax_number": "708-390-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 CAL SAG RD STE A",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604181423",
            "telephone_number": "312-421-1016",
            "fax_number": "708-390-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "THOMAS",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Felipe Jimenez, MS, MA, BCBA, LPC
• Cierra D Johnson, PA-C
• Ebony Nicole Johnson, MD
• Patrice Lanae Johnson, RPH, PMP
• Kelly Jean Jordan
• Sejal Kalawadia, MD
• Theresa A Kasick
• Joseph H Kent, MD
• Kids in Motion Inc
• KMR Services LTD

• Family Medicine Physician in Crestwood, IL
• Providers in Crestwood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.