Individual provider Active NPI

Jonathan Ezra Vogel, M.D.

  • Neurology Physician
  • Chicago, IL
National Provider Identifier
1104007533
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036120453 Issued in IL
Practice address
2800 N Sheridan Rd Ste 600
Chicago, IL 60657-6183
Phone
(312) 263-2828
Fax
(312) 263-2759
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 036120453 IL
Neurology Physician 2084N0400X 036120453 IL Primary

Addresses

Primary practice location

2800 N Sheridan Rd Ste 600
Chicago, IL 60657-6183

Mailing address

2845 N Sheridan Rd
Ste 6400
Chicago, IL 60657
Phone (312) 332-2226

Other practice location 1

2900 N Lake Shore Dr Fl 2
Chicago, IL 60657-5640
Phone (773) 665-6500

Other practice location 2

5 E 98th St # 1192
New York, NY 10029-6501
Phone (212) 241-6372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jvogel17025@ce-direct.presencehealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000352 IL Practitioner - NeurologyPractitioner - Pain Management 0840353892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Rush Medical College of Rush University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Hospital & facility affiliations

  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Mar 30, 2017 Accepting new patients
Resurrection Services CurrentSince Mar 30, 2017 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services CurrentSince Feb 21, 2023 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

62311 Collections Ctr D
Chicago, IL 60693
Phone (800) 273-2614

62311 Collection Ctr Dr
Chicago, IL 60693

2800 N Sheridan Rd
Ste 600
Chicago, IL 60657
Phone (312) 263-2828

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

8 S Michigan Ave
Ste 1505
Chicago, IL 60603
Phone (312) 263-2828

2900 N Lake Shore Dr
Fl 2
Chicago, IL 60657
Phone (773) 665-3184

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Interoperability endpoints

  • Direct secure messaging: jvogel17025@ce-direct.presencehealth.org

Organizations & group practices 5

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 1

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1104007533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD",
            "address_2": "STE 6400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "312-332-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576183",
            "telephone_number": "312-263-2828",
            "fax_number": "312-263-2759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 N Lake Shore Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575640",
            "country_code": "US",
            "telephone_number": "773-665-6500",
            "fax_number": "773-665-3925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 E 98th St # 1192",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296501",
            "country_code": "US",
            "telephone_number": "212-241-6372",
            "fax_number": "212-348-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGEL",
        "first_name": "JONATHAN",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036120453",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036120453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvogel17025@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 600",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.