Individual provider Active NPI

Thomas R Carver, MD

  • Obstetrics & Gynecology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1851474753
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Practice address
1S132 Summit Ave Ste 305
Oakbrook Terrace, IL 60181-3942
Phone
(630) 627-4954
Fax
(630) 527-0441
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X IL Primary

Addresses

Primary practice location

1S132 Summit Ave Ste 305
Oakbrook Terrace, IL 60181-3942

Mailing address

1S132 Summit Ave Ste 305
Oakbrook Terrace, IL 60181-3942
Phone (630) 627-4954

Other identifiers 1

IdentifierTypeStateIssuer
1615022OtherILBCBS ID #

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
I20101104000902 IL Practitioner - Obstetrics/Gynecology 8022202290 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terrace Obstetricians & Gynecologists SC Obstetrics & Gynecology CurrentSince Jan 1, 1987 Accepting new patients
Edward Health Ventures CurrentSince Aug 1, 2013 Accepting new patients
Edward Health Ventures CurrentSince Aug 1, 2013 Accepting new patients

Locations

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1851474753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE STE 305",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813942",
            "telephone_number": "630-627-4954",
            "fax_number": "630-527-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE STE 305",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813942",
            "telephone_number": "630-627-4954",
            "fax_number": "630-527-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID #",
            "identifier": "1615022",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.