Individual provider Active NPI

Richard Tom, M.D.

  • Obstetrics & Gynecology Physician
  • Aurora, IL
National Provider Identifier
1952396517
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-097522 Issued in IL
Practice address
2020 Ogden Ave
Suite 225
Aurora, IL 60504-5894
Phone
(630) 978-4800
Fax
(630) 978-6791
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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 036-097522 IL Primary

Addresses

Primary practice location

2020 Ogden Ave
Suite 225
Aurora, IL 60504-5894

Mailing address

2020 Ogden Ave Ste 400
Aurora, IL 60504-5898
Phone (630) 692-5564

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
I20100610001144 IL Practitioner - Obstetrics/Gynecology 9931239332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-097522ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group, NFP Obstetrics & Gynecology CurrentSince Jan 1, 2003 Accepting new patients
Rush-Copley Medical Group CurrentSince Jan 1, 2003 Accepting new patients
Rush University Medical Center Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Rush University Medical Group Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Rush Copley Medical Group Past Accepting new patients

Locations

2088 Ogden Ave
Ste 100
Aurora, IL 60504
Phone (630) 518-3525

2020 Ogden Ave
Ste 225
Aurora, IL 60504
Phone (630) 978-4800

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2020 Ogden Ave
Ste 400
Aurora, IL 60504
Phone (630) 375-2925

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

2972 Indian Trail Rd
Aurora, IL 60502
Phone (630) 236-4240

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

Interoperability endpoints

  • Direct secure messaging: rtom84321@direct.rush.rush-health.com

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.

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1952396517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE STE 400",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045898",
            "telephone_number": "630-692-5564",
            "fax_number": "630-692-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 OGDEN AVE",
            "address_2": "SUITE 225",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045894",
            "telephone_number": "630-978-4800",
            "fax_number": "630-978-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-097522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.