Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David T Thom, DPM

Individual provider Podiatrist · NPI 1902484405

Dr. David T Thom, DPM is a Podiatry in Rockford, Illinois. Qualified in 2021, 5 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone: (815) 398-9491
Fax: (815) 381-7498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016006060 (IL)

Record details

NPI number1902484405
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address5875 E Riverside Blvd, Rockford, IL 61114-4937

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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