Active NPI
Tom K Stathopoulos, M.D.
- Cardiovascular Disease Physician
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 73862
- Practice address
- 1410 Tusculum Blvd Ste 1500
Greeneville, TN 37745-5810 - Phone
- (423) 638-2270
- Fax
- (423) 638-2205
- NPI assigned
- May 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036098988 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 73862 | TN | Primary |
Addresses
Primary practice location
1410 Tusculum Blvd Ste 1500
Greeneville, TN 37745-5810
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
1555 Barrington Rd
Suite 2300B
Hoffman Estates, IL 60169-1019
Phone (847) 843-7030
Other practice location 2
1901 S Shady St Ste 1
Mountain City, TN 37683-2021
Phone (423) 727-6674
Other practice location 3
10370 Haligus Rd Ste 200
Huntley, IL 60142-9582
Phone (815) 759-8070
Other practice location 4
360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone (815) 759-8070
Other practice location 5
2428 Knob Creek Rd Ste 201
Johnson City, TN 37604-2396
Phone (423) 282-5054
Other practice location 6
4309 W Medical Center Dr Ste A200
McHenry, IL 60050
Phone (815) 759-8070
Other practice location 7
1410 Tusculum Blvd Ste 1200
Greeneville, TN 37745-5815
Phone (423) 787-7100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740231505 | Other | IL | NPI GROUP PRACTICE |
| 036098988 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1410 Tusculum Blvd
Suite 1500
Greeneville, TN 37745-5810
Phone (423) 638-2270
Hospital & facility affiliations
- Greeneville Community Hospital
- Northwestern Medicine McHenry
- Johnson City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73862 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Wellmont Cardiology Services | Cardiovascular Disease | Current | Accepting new patients |
| Dupage Medical Group LTD | Past | Accepting new patients | |
| Valley Medical & Cardiac Clinic, LTD. | Past | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
360 Station Dr
Fl 3
Crystal Lake, IL 60014
Phone (815) 759-8070
11650 S State Route 47
Huntley, IL 60142
Phone (847) 802-7300
10370 Haligus Rd
Ste 200
Huntley, IL 60142
Phone (815) 759-8070
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4309 W Medical Center Dr
Ste A200
McHenry, IL 60050
Phone (815) 759-4699
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
3707 Doty Rd
Woodstock, IL 60098
Phone (815) 206-1068
1410 Tusculum Blvd
Ste 1200
Greeneville, TN 37745
Phone (423) 638-2270
1410 Tusculum Blvd
Ste 1500
Greeneville, TN 37745
Phone (423) 638-2270
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
2428 Knob Creek Rd
Ste 201
Johnson City, TN 37604
Phone (423) 262-4400
2050 Meadowview Pkwy
Kingsport, TN 37660
1901 S Shady St
Ste 1
Mountain City, TN 37683
Phone (423) 727-1103
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Specialist
- Elgin, IL
- NPI 1477575504
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1922053511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 TUSCULUM BLVD STE 1500",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377455810",
"telephone_number": "423-638-2270",
"fax_number": "423-638-2205"
}
],
"practiceLocations": [
{
"address_1": "1555 Barrington Rd",
"address_2": "Suite 2300B",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601691019",
"country_code": "US",
"telephone_number": "847-843-7030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 S Shady St Ste 1",
"address_purpose": "LOCATION",
"city": "Mountain City",
"state": "TN",
"postal_code": "376832021",
"country_code": "US",
"telephone_number": "423-727-6674",
"fax_number": "423-727-1268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10370 Haligus Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Huntley",
"state": "IL",
"postal_code": "601429582",
"country_code": "US",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr Fl 3",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2428 Knob Creek Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376042396",
"country_code": "US",
"telephone_number": "423-282-5054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4309 W Medical Center Dr Ste A200",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "60050",
"country_code": "US",
"telephone_number": "815-759-8070",
"fax_number": "815-759-4931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Tusculum Blvd Ste 1200",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377455815",
"country_code": "US",
"telephone_number": "423-787-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STATHOPOULOS",
"first_name": "TOM",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036098988",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "73862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP PRACTICE",
"identifier": "1740231505",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "036098988",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
- State of Tennessee
- State of Tennessee
- State of Tennessee
- State of Tennessee Greene Valley Developmental Center
- State of Tennessee, Greene Valley Developmental Center
- Elizabeth Erin Stayton, FNP-BC
- Ruth Lorraine Steinagle, M.A.
- Fred Howard Steinberg, PT
- Stephanie Briggs Frost Chiropractic PC
- Donna Pierce Stephenson, CRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.