Individual provider Active NPI

Thessa Grace Robertson, MD

  • Emergency Medicine Physician
  • Gary, IN
National Provider Identifier
1851332514
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01061982A Issued in IN
Practice address
600 Grant Street
Gary, IN 46402
Phone
(219) 886-4601
Fax
(219) 886-4603
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01061982A IN Primary

Addresses

Primary practice location

600 Grant Street
Gary, IN 46402

Mailing address

600 Grant Street
Gary, IN 46402
Phone (219) 886-4601

Other practice location 1

145 N Weber Rd
Bolingbrook, IL 60490-1504
Phone (888) 693-6437

Other identifiers 1

IdentifierTypeStateIssuer
036113290MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trobertson224154@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050623000631 IL Practitioner - Emergency Medicine 4284679853 Reassigns benefits to 2 organizations
I20070731000443 IN Practitioner - Emergency Medicine 4284679853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Sep 29, 2014 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 12, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 12, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Sep 29, 2014 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

145 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 359-8721

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

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

29373 Network Pl
Chicago, IL 60673

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: trobertson224154@direct.edward.org
  • Direct secure messaging: trobertson224154@dulyhealthandcare.direct-ci.com

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.

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1851332514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46402",
            "telephone_number": "219-886-4601",
            "fax_number": "219-886-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRANT STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46402",
            "telephone_number": "219-886-4601",
            "fax_number": "219-886-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 N Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604901504",
            "country_code": "US",
            "telephone_number": "888-693-6437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "THESSA",
        "middle_name": "GRACE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01061982A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113290",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trobertson224154@direct.edward.org",
            "affiliation": "N",
            "address_1": "145 N Weber Rd",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604901504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.