Tomasz Taduesz Antkowiak, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036133059 Issued in IL

Practice address

400 S Kennedy Dr
Suite 100
Bradley, IL 60915

Phone

(815) 928-8050

Fax

(800) 505-2218

NPI assigned

May 22, 2008

Last updated

Apr 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Albany Medical College of Union University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Merit-based Incentive Payment System (MIPS)

Final score

81.07 of 100Reported as group

Quality

76.54

Promoting interoperability

83

Improvement activities

40

Cost

74.52

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Illinois Bone and Joint Institute LLC

  • Orthopaedic Surgery Physician
  • Bannockburn, IL
  • NPI 1205922432
  Medicare reassignment Care Compare group NPD
• Illinois Bone and Joint Institute, LLC

  • Orthopaedic Surgery Physician
  • Arlington Heights, IL
  • NPI 1962219568
  NPD
• Oak ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Bourbonnais, IL
  • NPI 1962070896
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation
• St Marys Hospital - Kankakee LLC

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1467290809
  Care Compare affiliation

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1881851210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR",
            "address_2": "SUITE 100",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609152682",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S KENNEDY DR",
            "address_2": "SUITE 100",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "60915",
            "telephone_number": "815-928-8050",
            "fax_number": "800-505-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTKOWIAK",
        "first_name": "TOMASZ",
        "middle_name": "TADUESZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036133059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Wayne Adams, DC
• Eloise Adams
• Lois Ahrens, BS
• Kim K Alberts, LCPC
• Allcare Dental & Dentures of Il PC
• Aperion Care Bradley LLC (Aperion Care Bradley)
• Aperion Care Bradley LLC
• Apollo Medical Group of Kankakee LLC
• Arc at Bradley LLC
• Arc at Bradley LLC (Arc at Bradley)

• Orthopaedic Surgery Physician in Bradley, IL
• Providers in Bradley, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.

Verify at the official NPI Registry.