Individual provider Active NPI

James A Joseph, D.O.

  • Family Medicine Physician
  • North Chicago, IL
National Provider Identifier
1083660229
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036102939 Issued in IL
Practice address
1809 Sheridan Rd
North Chicago, IL 60064-2235
Phone
(847) 785-0611
Fax
(847) 785-0612
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018552 MI
Family Medicine Physician 207Q00000X 036102939 IL Primary

Addresses

Primary practice location

1809 Sheridan Rd
North Chicago, IL 60064-2235

Mailing address

1809 Sheridan Rd
North Chicago, IL 60064-2235
Phone (847) 785-0611

Other identifiers 1

IdentifierTypeStateIssuer
036102939MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 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
I20101021000428 IL Practitioner - Family Practice 6800089988 Reassigns benefits to 4 organizations
I20160422001527 MI Practitioner - Family Practice 6800089988 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2424 Grand Ave
Waukegan, IL 60085-3315
Phone (847) 785-0611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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 Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018552MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Back and Joint PLLC Family Medicine CurrentSince Jan 31, 2021 Accepting new patients
Mid Michigan Medical Corporation PC Family Medicine CurrentSince Mar 7, 2016 Accepting new patients
Vitality Healthcare PC Family Medicine CurrentSince Aug 20, 2015 Accepting new patients
Intervention Arms Medical Center LLC Family Medicine CurrentSince Jul 3, 2010 Accepting new patients
Right Health PC CurrentSince Feb 4, 2024 Accepting new patients
Spine and Joint Center of Illinois PLLC CurrentSince Feb 1, 2023 Accepting new patients
Tamid Medical Group Current Accepting new patients
Right Health PC Family Medicine CurrentSince Jul 24, 2019 Accepting new patients
Staywell Spine and Joint Specialists LLC CurrentSince May 27, 2023 Accepting new patients
Summit Regenerative Health Family Medicine CurrentSince Mar 10, 2024 Accepting new patients
Naveed H Elahi DC SC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Stay Home Wound Care PC Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Old City Health PastSince Jan 1, 2024 Accepting new patients
Dover Shores Family Practice Family Medicine PastSince Jan 1, 2024 Accepting new patients
North Chicago Health Center Past Accepting new patients
Pivotal Integrative Medicine PLLC PastSince Jan 16, 2024 Accepting new patients
Revive Health Center, SC PastSince Aug 1, 2020 Accepting new patients
Specialized Family Chiropractic PC PastSince Mar 4, 2008 Accepting new patients
Midland Express Urgent and Family Care PLC Past Accepting new patients
Dupage Healthcare LTD PastSince Mar 4, 2013 Accepting new patients
Regenerative Medicine Space Coast LLC PastSince Jan 1, 2024 Accepting new patients

Locations

3115 N Wilke Rd
Ste C
Arlington Hts, IL 60004
Phone (224) 329-5602

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

3825 N Central Ave
Chicago, IL 60634
Phone (773) 282-6188

1809 Sheridan Rd
North Chicago, IL 60064
Phone (847) 785-0611

11540 183rd Pl
Ste Se
Orland Park, IL 60467
Phone (708) 310-6733

1105 Milwaukee Ave
Riverwoods, IL 60015
Phone (847) 215-1391

1037 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 466-7392

2424 Grand Ave
Waukegan, IL 60085
Phone (847) 336-2250

863 N Pine Rd
Ste E
Essexville, MI 48732
Phone (989) 835-9250

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240

26200 Town Center Dr
Ste 165
Novi, MI 48375
Phone (248) 228-0541

5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 218-2443

1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883

2801 Elizabeth Lake Rd
Ste 100
Waterford, MI 48328
Phone (248) 683-6260

Interoperability endpoints

  • Direct secure messaging: james.joseph.1@3836.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3836/brand/1/csg/1/fhir/r4
  • Direct secure messaging: james.joseph.1@31553.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1083660229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "847-785-0611",
            "fax_number": "847-785-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SHERIDAN RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642235",
            "telephone_number": "847-785-0611",
            "fax_number": "847-785-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018552",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036102939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102939",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.