DANA MARA THOMPSON M.D. NPI 1811976665

Otolaryngology (Pediatric Otolaryngology) in Chicago, IL

NPI 1811976665 Individual Female Otolaryngology Pediatric Otolaryngology PECOS Enrolled

About DANA THOMPSON

Dana Thompson is a provider established in Chicago, Illinois and her medical specialization is otolaryngology (pediatric otolaryngology) . The NPI number of Dana Thompson is 1811976665 and was assigned on January 2006. The practitioner's primary taxonomy code is 207YP0228X with license number 036.131871 (IL). The provider is registered as an individual and her NPI record was last updated 9 years ago.

Dana Thompson is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Dana Thompson is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1811976665

Provider Name DANA MARA THOMPSON M.D.
Provider Location Address225 E CHICAGO AVE # 25 ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO CHICAGO, IL 60611
Provider Mailing Address225 E CHICAGO AVE # 25 ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO CHICAGO, IL 60611
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-11-2006
Last Update Date04-30-2013


Primary Taxonomy

Taxonomy Code207YP0228X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Otolaryngology
License No.036.131871
License StateIL
Taxonomy DescriptionA pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Business Address

DANA MARA THOMPSON M.D.
225 E CHICAGO AVE # 25
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4000
Fax: (312) 225-9414

Get Directions


Mailing Address

DANA MARA THOMPSON M.D.
225 E CHICAGO AVE # 25
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4000
Fax: (312) 225-9414



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology036.131871ILNo

Taxonomy Description: an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology35.072848OHNo

Taxonomy Description: a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

3207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology35521MNNo

Taxonomy Description: a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
040013679OTHER (01)MN
F45267MEDICARE UPIN (02)
389020100MEDICAID (05)MN
040000877MEDICARE PIN (08)MN

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801070370DR. JONATHAN BENJAMIN IDA M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)225 E CHICAGO AVE # 25
CHICAGO, IL 60611
(312) 227-6234
1235556192 SAIED GHADERSOHI M.D.
Individual
Otolaryngology (Pediatric Otolaryngology)225 E CHICAGO AVE # 25
CHICAGO, IL 60611
(800) 543-7362

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.