DR. PATRICK RYAN THAM D.D.S.
NPI 1548699119
Dentist - General Practice in Chicago, IL

Q: What is Patrick Tham's NPI number?

The NPI number for Patrick Tham is 1548699119. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Q: What is Patrick Tham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Tham was last updated on January 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2013PECOS Enrolled

9119 S EXCHANGE AVE, CHICAGO, IL 60617(773) 768-5000 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Patrick Ryan Tham D.d.s. NPPES

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

DR. PATRICK RYAN THAM D.D.S. (NPI 1548699119) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.029691) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548699119

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PATRICK RYAN THAMCredential: D.D.S.

Location Address9119 S EXCHANGE AVEChicago, IL 60617-4225

Mailing Address9119 S Exchange AveChicago, IL 60617-4225 · (773) 768-5000

Phone(773) 768-5000

Sole ProprietorNo

Enumeration DateNovember 4, 2013

Last NPPES UpdateJanuary 6, 2016

✔ NPI 1548699119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.029691

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9119 S EXCHANGE AVE, Chicago, IL 60617

Open in Google Maps ↗

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 and more.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)

Dr. Patrick Ryan Tham D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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.

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.

CARL B TOREN MD

Non-Pharmacy Dispensing Site