Individual provider Active NPI

Thomas Jorge Torrez

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1902622079
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031135 Issued in IL
Practice address
1665 Larkin Ave
Elgin, IL 60123-5977
Phone
(847) 695-1093
NPI assigned
Nov 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 209031135 IL Primary

Addresses

Primary practice location

1665 Larkin Ave
Elgin, IL 60123-5977

Mailing address

1665 Larkin Ave
Elgin, IL 60123-5977
Phone (847) 450-8102

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250602001841 IL Practitioner - Nurse Practitioner 3577072586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Open Door Clinic of Greater ElginGroup PAC ID 4486687050, 2 clinicians

Practice addresses (Care Compare)

1665 Larkin Ave
Elgin, IL 60123-5977
Phone (847) 695-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209031135ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Clinic Family CurrentSince Apr 1, 2025 Accepting new patients
Open Door Clinic of Greater Elgin Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

157 S Lincoln Ave
Ste K
Aurora, IL 60505
Phone (847) 695-1093

1665 Larkin Ave
Elgin, IL 60123
Phone (847) 695-1093

Interoperability endpoints

  • Direct secure messaging: thomas.torrez.1@17509.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1902622079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 LARKIN AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235977",
            "telephone_number": "847-450-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 LARKIN AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235977",
            "telephone_number": "847-695-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "THOMAS",
        "middle_name": "JORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.