Active NPI
Meghan Thakur, MD
- Hospitalist Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036171481
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Mar 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 283708 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 036171481 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
81 Highland Ave
Salem, MA 01970-2768
Phone (978) 354-2551
Other practice location 1
1087 Congress Dr
Troy, MI 48085-1384
Phone (248) 879-0341
Other practice location 2
945 N 12th St
Milwaukee, WI 53233-1305
Phone (414) 219-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-0700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283708 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Single Specialty | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Single Specialty | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Single Specialty | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| North Shore Medical Center, Inc. | Single Specialty | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Organizations & group practices 7
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.
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
Single Specialty
-
- General Practice Physician
- Berwyn, IL
- NPI 1376041954
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Single Specialty
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
Single Specialty
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1780115675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702768",
"telephone_number": "978-354-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "1087 Congress Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851384",
"country_code": "US",
"telephone_number": "248-879-0341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N 12th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532331305",
"country_code": "US",
"telephone_number": "414-219-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKUR",
"first_name": "MEGHAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "283708",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036171481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.