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THOMPSON DZIDZA PA
NPI 1174930887
Physician Assistant in Chicago, IL

Active since July 14, 2014PECOS Enrolled
925 W 53RD ST, CHICAGO, IL 60609(773) 727-7548 Get Directions Write a Review

NPPES record last updated: January 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thompson Dzidza Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMPSON DZIDZA PA (NPI 1174930887) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.005067) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174930887
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMPSON DZIDZACredential: PA
Location Address925 W 53RD STChicago, IL 60609-6109
Mailing Address925 W 53rd StChicago, IL 60609-6109 · (773) 727-7548
Phone(773) 727-7548
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 14, 2014
Last NPPES UpdateJanuary 10, 2021
NPPES CertifiedJanuary 10, 2021
✔ NPI 1174930887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.005067
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
925 W 53RD ST, Chicago, IL 60609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thompson Dzidza Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143549030
PECOS Enrollment IDI20150427001052
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
328 services57 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
136 services33 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
55 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thompson Dzidza's NPI number?

The NPI number for Thompson Dzidza is 1174930887. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Thompson Dzidza located?

Thompson Dzidza practices at 925 W 53rd St, Chicago, IL 60609. The listed phone number is (773) 727-7548.

What is Thompson Dzidza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thompson Dzidza enrolled in Medicare?

Yes. Thompson Dzidza is registered in the Medicare PECOS enrollment system.

What insurance does Thompson Dzidza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Thompson Dzidza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thompson Dzidza was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.