Individual provider Active NPI

Jason R Foreman, M.D.

  • Emergency Medicine Physician
  • Elgin, IL
National Provider Identifier
1073567871
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36115212 Issued in IL
Practice address
1425 N Randall Rd
Elgin, IL 60123
Phone
(224) 783-3957
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 49225-020 WI
Emergency Medicine Physician 207P00000X 01087499A IN
Emergency Medicine Physician 207P00000X 36115212 IL Primary

Addresses

Primary practice location

1425 N Randall Rd
Elgin, IL 60123

Mailing address

1425 N Randall Rd
Elgin, IL 60123-2300
Phone (224) 783-3957

Other practice location 1

111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720

Other practice location 2

1302 N Main St
Sandwich, IL 60548-2587
Phone (815) 786-8484

Other identifiers 1

IdentifierTypeStateIssuer
34860000MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jforeman282014@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct
Direct Messaging Address jforeman440022@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060615000043 WI Practitioner - Emergency Medicine 8729090659 Reassigns benefits to 1 organization
I20150812006309 IL Practitioner - Emergency Medicine 8729090659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

600 S Randall Rd
Algonquin, IL 60102-5935
Phone (224) 783-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
73.23
Improvement activities
40
Cost
82.42

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36115212ILMDEmergency Medicine Physician
49225-020WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley West Community Hospital Current Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vituity-Wisconsin Em SC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients

Locations (25 of 37)

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

Interoperability endpoints

  • Direct secure messaging: jforeman282014@direct.myadvocateaurora.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1073567871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "224-783-3957",
            "fax_number": "224-783-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "224-783-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024815",
            "country_code": "US",
            "telephone_number": "414-290-6720",
            "fax_number": "414-290-6755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "IL",
            "postal_code": "605482587",
            "country_code": "US",
            "telephone_number": "815-786-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "49225-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01087499A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "36115212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34860000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jforeman282014@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 N Randall Rd",
            "city": "Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jforeman440022@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "855 S Main St",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.