Individual provider Active NPI

Bartley Garver Thornburg, MD

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1811158504
Registry record updated Apr 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036.132888 Issued in IL
Practice address
251 E Huron St
Feinberg 4-710 - Dept of Radiology
Chicago, IL 60611-2908
Phone
(312) 926-5113
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036.132888 IL Primary

Addresses

Primary practice location

251 E Huron St
Feinberg 4-710 - Dept of Radiology
Chicago, IL 60611-2908

Mailing address

251 E Huron St
Department of Radiology, Feinberg 4-710
Chicago, IL 60611-2908

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
I20140708001833 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0446475370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

676 N Saint Clair St
Suite 800
Chicago, IL 60611-2978
Phone (312) 695-3775

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.132888ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 1, 2014 Accepting new patients
Lurie Children'S Medical Group Inc Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

251 E Huron St
#4710
Chicago, IL 60611
Phone (312) 926-5113

676 N Saint Clair St
Ste 800
Chicago, IL 60611
Phone (312) 695-5753

680 N Lake Shore Dr
Ste 1015
Chicago, IL 60611
Phone (312) 926-9674

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

225 E Chicago Ave
#118
Chicago, IL 60611

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 3

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 1

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397347200000",
    "number": "1811158504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "DEPARTMENT OF RADIOLOGY, FEINBERG 4-710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "FEINBERG 4-710 - DEPT OF RADIOLOGY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "BARTLEY",
        "middle_name": "GARVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.132888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.