Active NPI
Jason Trager, DO
- Cardiovascular Disease Physician
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036.120271
- Practice address
- 101 W University Ave
Champaign, IL 61820-3981 - Phone
- (217) 366-1304
- NPI assigned
- Apr 9, 2007
- Last updated
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101015367 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 036.120271 | IL | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 036.120271 | IL |
Addresses
Primary practice location
101 W University Ave
Champaign, IL 61820-3981
Mailing address
101 W University Ave
Champaign, IL 61820-3981
Phone (217) 366-1304
Other practice location 1
1770 E Lake Shore Dr Ste 105
Decatur, IL 62521-3800
Phone (217) 422-6100
Other practice location 2
1000 Health Center Dr
Mattoon, IL 61938-9261
Phone (217) 238-4960
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jtrager210439@ewd.direct.hshs.org | Direct |
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
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015367 | MI | MD | Cardiovascular Disease Physician |
| 036.120271 | IL | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Christie Clinic, PLLC | Internal Medicine | Current | Accepting new patients |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Cardiovascular Disease | Current | Accepting new patients |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Thomas and Thomas Medical LTD | Past | Accepting new patients |
Locations
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1000 Health Center Dr
Ste 107
Mattoon, IL 61938
Phone (217) 238-4960
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
Interoperability endpoints
- jtrager210439@ewd.direct.hshs.org
- jtragermd378628@carlehiedirect.net
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Saint James Hospital - Multiple Hospital Departments
- Anesthesiology Physician
- Pontiac, IL
- NPI 1790735421
-
- Internal Medicine Physician
- Champaign, IL
- NPI 1871523829
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba OSF Healthcare - Medical Group - Roanoke
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Cardiovascular Disease
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
dba heart and vascular center of lake county
- Specialist
- Gurnee, IL
- NPI 1427090125
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
dba Osf Saint James-John W Albrecht Medical Center
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1063535417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203981",
"telephone_number": "217-366-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W UNIVERSITY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203981",
"telephone_number": "217-366-1304"
}
],
"practiceLocations": [
{
"address_1": "1770 E Lake Shore Dr Ste 105",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625213800",
"country_code": "US",
"telephone_number": "217-422-6100",
"fax_number": "833-784-5326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619389261",
"country_code": "US",
"telephone_number": "217-238-4960",
"fax_number": "217-238-4951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAGER",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101015367",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036.120271",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "IL",
"license": "036.120271",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jtrager210439@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1770 E Lake Shore Dr Ste 105",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625213800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.