Active NPI
Hortancia G. Puthumana, MD
- Anesthesiology Physician
- Zion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036061834
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061834 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036061834 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Anesthesiology | Current | Accepting new patients |
| Windy City Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Windy City Anesthesia PC | Current | Accepting new patients | |
| Anesthesia Associates of Vista Health Services, LTD. | Anesthesiology | Past | 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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
-
- Interventional Pain Medicine Physician
- Waukegan, IL
- NPI 1396794368
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.