Active NPI
Jared Paul Hansen
- Anesthesiology Physician
- Burr Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036.126813
- Practice address
- 10 S 551 Madison St
Burr Ridge, IL 60527 - Phone
- (217) 766-3205
- NPI assigned
- Mar 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036.126813 | IL | Primary |
Addresses
Primary practice location
10 S 551 Madison St
Burr Ridge, IL 60527
Mailing address
10 S 551 Madison St
Burr Ridge, IL 60527
Phone (217) 766-3205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000
Hospital & facility affiliations
- Palos Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.126813 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Anesthesiology | Current | Accepting new patients |
| New Lenox Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
Locations
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678
10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
Anesthesiology
-
- Anesthesiology Physician
- New Lenox, IL
- NPI 1093204778
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1033433701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S 551 MADISON ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "217-766-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S 551 MADISON ST",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "217-766-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "JARED",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036.126813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.