KEITH R THULBORN
NPI 1437161155
Radiology - Diagnostic Radiology in Chicago, IL
About Keith R Thulborn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH R THULBORN (NPI 1437161155) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036-910244) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keith R Thulborn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Keith Thulborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60612
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 Keith Thulborn's NPI number?
The NPI number for Keith Thulborn is 1437161155. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Keith Thulborn located?
Keith Thulborn practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (866) 600-2273.
What is Keith Thulborn's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Keith Thulborn enrolled in Medicare?
Yes. Keith Thulborn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Keith Thulborn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Thulborn reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Chicago, IL). The 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 Keith Thulborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keith Thulborn was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Keith R Thulborn · NPI 1437161155
Diagnostic Radiology physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1437161155 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 036-910244 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1740 W TAYLOR ST, Chicago, IL 60612-7232
- **Phone:** (866) 600-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Board Of Trustees Of The University Of Illinois (NPI 1013136282, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2014
- **Other identifiers:** Medicare UPIN E94335 (IL); Medicare ID-Type Unspecified L52982 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1437161155) · Data from the CMS NPPES public registry.