THOMAS CARBERRY M.D.
NPI 1487043907
Pediatrics - Pediatric Cardiology in Chicago, IL

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
225 E CHICAGO AVE # 21, CHICAGO, IL 60611(312) 227-5329 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Carberry M.d. NPPES

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

THOMAS CARBERRY M.D. (NPI 1487043907) is an individual pediatric cardiology provider in Chicago, Illinois, licensed in Michigan (4301506609) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487043907
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameTHOMAS CARBERRYCredential: M.D.
Location Address225 E CHICAGO AVE # 21Chicago, IL 60611
Mailing Address225 E Chicago Ave # 21Chicago, IL 60611-2991 · (312) 227-5329
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 21, 2015
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1487043907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in MI · 4301506609
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
225 E CHICAGO AVE # 21, Chicago, IL 60611

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Thomas Carberry M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800278664
PECOS Enrollment IDI20220727000945
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Genetic Counselor, MS
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Pediatrics
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Genetic Counselor, MS
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Nurse Practitioner (Family)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611
Pediatrics (Pediatric Cardiology)
225 E CHICAGO AVE # 21
CHICAGO, IL 60611

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 Thomas Carberry's NPI number?

The NPI number for Thomas Carberry is 1487043907. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Thomas Carberry located?

Thomas Carberry practices at 225 E Chicago Ave # 21, Chicago, IL 60611. The listed phone number is (312) 227-5329.

What is Thomas Carberry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Thomas Carberry enrolled in Medicare?

Yes. Thomas Carberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Carberry accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Thomas Carberry 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 Thomas Carberry was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.