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

Thomas G De Torres, PA-C

Individual provider Physician Assistant · NPI 1497820211

Thomas G De Torres, PA-C is a Physician Assistant in Carbondale, Illinois. Qualified in 2005, 21 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone: (618) 457-3006
Fax: (618) 457-3007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1900 E Main St, Danville, IL 61832-5100 — (217) 554-5467
  • 317 S 14th St, Herrin, IL 62948-3671 — (618) 942-2002

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085000963 (IL)

Record details

NPI number1497820211
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carbondale