Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAJA LANIECE THOMPSON PA-C
NPI 1962270207
Physician Assistant in Chicago, IL

Q: What is Taja Thompson's NPI number?

The NPI number for Taja Thompson is 1962270207. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Q: What is Taja Thompson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Taja Thompson was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since December 15, 2023PECOS EnrolledAccepts Medicare Assignment

3134 N CLARK ST, CHICAGO, IL 60657(312) 766-4949(312) 766-4908 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Dec 15, 2023 (2 updates tracked since 2023).

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About Taja Laniece Thompson Pa-c NPPES

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

TAJA LANIECE THOMPSON PA-C (NPI 1962270207) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085010238) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962270207

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAJA LANIECE THOMPSONCredential: PA-C

Location Address3134 N CLARK STChicago, IL 60657-4414

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757

Phone(312) 766-4949

Fax(312) 766-4908

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 15, 2023

Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1962270207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085010238

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3134 N CLARK ST, Chicago, IL 60657

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Secondary Practice Locations 2

Location 13420 Forbes AvePittsburgh, PA 15213-3203 · Phone (412) 624-6743

Location 21276 N Clybourn AveChicago, IL 60610-2003 · Phone (312) 337-1073

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

Taja Laniece Thompson Pa-c 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 ID3779097308

PECOS Enrollment IDI20250707003765

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

DR. SORIN C DANCIU M.D.

Internal Medicine (Cardiovascular Disease)