Individual provider Active NPI

Karama K. Thiab, MD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1811923709
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036107162 Issued in IL
Practice address
15 Tower CT Ste 210
Gurnee, IL 60031-3355
Phone
(847) 599-1444
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036107162 IL Primary

Addresses

Primary practice location

15 Tower CT Ste 210
Gurnee, IL 60031-3355

Mailing address

15 Tower CT Ste 210
Gurnee, IL 60031-3355
Phone (847) 599-1444

Other practice location 1

45 Tower Ct Ste C
Gurnee, IL 60031-3376
Phone (847) 623-3200

Other identifiers 1

IdentifierTypeStateIssuer
036107162OtherILPHYSICIAN LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address kthiab385959@direct.myadvocateaurora.org Direct

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
I20110221000234 IL Practitioner - Internal Medicine 3779764006 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg Illinois LTDGroup PAC ID 8527117027, 24 clinicians

Practice addresses (Care Compare)

45 Tower CT
Gurnee, IL 60031-3376
Phone (847) 623-3200

Hospital & facility affiliations

  • Advocate Home Health Care Serv Home health agency, Oakbrook, IL, CCN 147150
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Vista Medical Center East Hospital, Waukegan, IL, CCN 140084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waukegan Clinic Corp Internal Medicine CurrentSince Oct 15, 2011 Accepting new patients
Cook County CurrentSince Dec 4, 2010 Accepting new patients
Cook County CurrentSince Dec 4, 2010 Accepting new patients
Amg Illinois LTD CurrentSince Aug 6, 2024 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Oct 15, 2011 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 26, 2024 Accepting new patients
Amg Illinois LTD Internal Medicine CurrentSince Aug 6, 2024 Accepting new patients
Cook County Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jun 26, 2024 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

29373 Network Pl
Chicago, IL 60673

1901 W Harrison St
Bldg Gmc
Chicago, IL 60612

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

15 Tower Ct
Ste 210
Gurnee, IL 60031
Phone (847) 599-1444

45 Tower Ct
#C
Gurnee, IL 60031
Phone (847) 623-3200

45 Tower Ct
Gurnee, IL 60031
Phone (847) 623-3200

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

2504 Washington St
Ste 603
Waukegan, IL 60085
Phone (847) 662-0455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • Direct secure messaging: kthiab385959@direct.myadvocateaurora.org

Organizations & group practices 10

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 5

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1811923709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 210",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313355",
            "telephone_number": "847-599-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 210",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313355",
            "telephone_number": "847-599-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Tower Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600313376",
            "country_code": "US",
            "telephone_number": "847-623-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIAB",
        "first_name": "KARAMA",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "036107162",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kthiab385959@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "45 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.