DR. THOMAS LEE CIBULL M.D. NPI 1003000134
Pathology (Anatomic Pathology & Clinical Pathology) in Evanston, IL
About THOMAS CIBULL
Thomas Cibull is a provider established in Evanston, Illinois and his medical specialization is pathology with more than 17 years of experience. The NPI number of Thomas Cibull is 1003000134 and was assigned on August 2007. The practitioner's primary taxonomy code is 207ZP0102X with license number 036120492 (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago. Thomas Cibull is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Northshore University Healthsystem - Evanston Hospital, Northwestern Lake Forest Hospital, Central Dupage Hospital.
| NPI | 1003000134 |
| Provider Name | DR. THOMAS LEE CIBULL M.D. |
| Provider Location Address | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 |
| Provider Mailing Address | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-31-2007 |
| Last Update Date | 08-06-2008 |
Primary Taxonomy
| Taxonomy Code | 207ZP0102X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Anatomic Pathology & Clinical Pathology |
| License No. | 036120492 |
| License State | IL |
| Taxonomy Description | A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Business Address
DR. THOMAS LEE CIBULL M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2040
Fax: (847) 733-5315
Mailing Address
DR. THOMAS LEE CIBULL M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2040
Fax: (847) 733-5315
Medicare Participation
| Registered in PECOS? | Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims. |
| PECOS PAC ID | 4284706367 |
| PECOS Enrollment ID | I20080707000385 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. |
| Part B Clinical Laboratory and Imaging | Yes |
| Durable Medical Equipment | Yes |
| Home Health Agency (HHA) | Yes |
| Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 7841Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 481Tissue or cell analysis by immunologic technique (HCPCS:88342)
- 417Special stained specimen slides to examine tissue (HCPCS:88341)
- 261Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) |
|---|---|---|---|---|
| NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL | 2650 RIDGE AVE EVANSTON, IL 60201 | Acute Care Hospitals | 140010 | |
| NORTHWESTERN LAKE FOREST HOSPITAL | 1000 N WESTMORELAND ROAD LAKE FOREST, IL 60045 | Acute Care Hospitals | 140130 | |
| CENTRAL DUPAGE HOSPITAL | 25 NORTH WINFIELD ROAD WINFIELD, IL 60190 | Acute Care Hospitals | 140242 |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1043267461 | MARK DIETERICH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1083602551 | EGON MR DOPPENBERG MD Individual | Neurological Surgery | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-1425 |
| 1184698060 | KATHARINE YAO MD Individual | Surgery | 2650 RIDGE AVE NORTHSHORE UNIVERSITY HEALTH SYSTEM EVANSTON, IL 60201 (847) 570-1327 |
| 1205883485 | MOHAMED ELDIBANY MB, BCH Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1295772119 | PATRICK J GAVIN M.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-1206 |
| 1316922529 | DR. LIZA GAYE ICAYAN M.D. Individual | Internal Medicine | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2824 |
| 1437150471 | ANDREA PARKS PA-C Individual | Physician Assistant (Surgical) | 2650 RIDGE AVE DIVISION OF NEUROSURGERY EVANSTON, IL 60201 (847) 570-1440 |
| 1487606109 | PHILIP H SHERIDAN JR. MD Individual | Internal Medicine (Pulmonary Disease) | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 675-1960 |
| 1497714869 | DORIS LAI MING YIP M.D. Individual | Radiology (Neuroradiology) | 2650 RIDGE AVE DEPARTMENT OF RADIOLOGY, G507 EVANSTON, IL 60201 (847) 570-2475 |
| 1548230055 | DR. MARLENE MORRISON TURVILL M.D. Individual | Pediatrics | 2650 RIDGE AVE CHILD & ADOLESCENT CENTER (G155), EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-2123 |
| 1619924313 | VANDANA SUSMI KULKARNI M.D. Individual | Anesthesiology | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1659367837 | JEFFERY D SEMEL MD Individual | Internal Medicine (Infectious Disease) | 2650 RIDGE AVE BURCH 118, EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-1502 |
| 1669476545 | STEVEN C SMART MD Individual | Internal Medicine (Cardiovascular Disease) | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2000 |
| 1699750174 | MS. ELIZABETH A. LEETH M.S. Individual | Genetic Counselor, MS | 2650 RIDGE AVE FETAL DIAGNOSTICS, RM 1400 EVANSTON, IL 60201 (847) 570-1380 |
| 1700833522 | MS. ANNE P. SEBASTIAN PA Individual | Physician Assistant | 2650 RIDGE AVE BURCH 106 EVANSTON, IL 60201 (847) 570-1328 |
| 1811944184 | TED E FELDMAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1821043944 | DAVID WEI OUYANG MD Individual | Obstetrics & Gynecology | 2650 RIDGE AVE EVANSTON NORTHWESTERN HEALTHCARE EVANSTON, IL 60201 (847) 570-2000 |
| 1881658193 | ERVIN DENHAM MD Individual | Surgery | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-4120 |
| 1912985888 | ARSHDEEP SINGH JAWANDHA M.B.,B.S. Individual | Psychiatry & Neurology (Psychiatry) | 2650 RIDGE AVE C/O LINDA GARFIELD DEP OF PSYCHIATRY 5TH FL LOIUS BLDG EVANSTON, IL 60201 (847) 570-2683 |
| 1952386427 | MRS. GWEN GASSMAN FRALEY M.S., C.G.C. Individual | Genetic Counselor, MS | 2650 RIDGE AVE FETAL DIAGNOSTICS EVANSTON, IL 60201 (847) 570-2864 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.