THOMPSON MEDICAL INCORPORATED
NPI 1356814503
Clinic/Center - Primary Care in Chicago, IL
About Thompson Medical Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMPSON MEDICAL INCORPORATED (NPI 1356814503) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Thompson Dzidza, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thompson Medical Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Thompson Medical Incorporated, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2227250
Thompson Medical Incorporated · Chicago, ILFrequently 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 Medical Incorporated's NPI number?
The NPI number for Thompson Medical Incorporated is 1356814503. It was assigned to this organization in the NPPES registry on January 9, 2019.
Where is Thompson Medical Incorporated located?
Thompson Medical Incorporated is located at 4564 N Broadway St, Chicago, IL 60640. The listed phone number is (773) 271-9700.
What is Thompson Medical Incorporated's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Thompson Medical Incorporated enrolled in Medicare?
Yes. Thompson Medical Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thompson Medical Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Thompson Medical Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Thompson Medical Incorporated hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2227250) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Thompson Medical Incorporated accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Thompson Medical Incorporated 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 Medical Incorporated 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.
# Thompson Medical Incorporated · NPI 1356814503
Primary Care organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1356814503 (Entity type: Organization)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Thompson Dzidza, PRESIDENT/OWNER
## Practice location
- **Address:** 4564 N BROADWAY ST, Chicago, IL 60640-5602
- **Phone:** (773) 271-9700 · **Fax:** (773) 271-9700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356814503) · Data from the CMS NPPES public registry.