Individual provider Active NPI

Hortancia G. Puthumana, MD

  • Anesthesiology Physician
  • Zion, IL
National Provider Identifier
1821035767
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036061834 Issued in IL
Practice address
Cancer Treatment Center of America
2520 Elisha Avenue
Zion, IL 60099
Phone
(800) 322-9183
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 036061834 IL
Anesthesiology Physician 207L00000X 036061834 IL Primary

Addresses

Primary practice location

Cancer Treatment Center of America
2520 Elisha Avenue
Zion, IL 60099

Mailing address

Cancer Treatment Center of America
2361 Paysphere Circle
Chicago, IL 60674
Phone (800) 322-9183

Other identifiers 1

IdentifierTypeStateIssuer
036061834MedicaidIL

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
I20080411000112 IL Practitioner - Anesthesiology 4284525957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Illinois PLLCGroup PAC ID 3274446596, 129 clinicians

Practice addresses (Care Compare)

2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561

Hospital & facility affiliations

  • Midwestern Region Med Center, Inc Hospital, Zion, IL, CCN 140100

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
74.24
Promoting interoperability
100
Improvement activities
40
Cost
66.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036061834ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Partners, LLC Anesthesiology CurrentSince Sep 1, 2014 Accepting new patients
Windy City Anesthesia PC Anesthesiology CurrentSince Aug 24, 2018 Accepting new patients
Windy City Anesthesia PC CurrentSince Aug 24, 2018 Accepting new patients
Anesthesia Associates of Vista Health Services, LTD. Anesthesiology PastSince Dec 16, 2000 Accepting new patients

Locations

1100 W Central Rd
Ste L4
Arlington Hts, IL 60005
Phone (847) 259-3080

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

387 Shuman Blvd
Ste 240W
Naperville, IL 60563

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

Organizations & group practices 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1821035767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTER OF AMERICA",
            "address_2": "2361 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60674",
            "telephone_number": "800-322-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CANCER TREATMENT CENTER OF AMERICA",
            "address_2": "2520 ELISHA AVENUE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "60099",
            "telephone_number": "800-322-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTHUMANA",
        "first_name": "HORTANCIA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036061834",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036061834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061834",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

Verify at the official NPI Registry.