NPIMap

Individual provider Active NPI

Jonathan Michael Silverman, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1104168251
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

195 N Harbor Dr
Unit 2304
Chicago, IL 60601-7514
Phone (219) 718-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521000653 IN Practitioner - NephrologyPractitioner - Internal Medicine 4688652977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Specialists, P.C.Group PAC ID 2860454980, 10 clinicians

Practice addresses (Care Compare)

5500 Hohman Ave
Suite 1C
Hammond, IN 46320-1942
Phone (219) 832-4006

5823 US Hwy 6
Suite B
Portage, IN 46368-4851
Phone (219) 764-8020

606 Lincolnway
Valparaiso, IN 46383-5728
Phone (219) 464-0083

9836 W 400
Suite B
Michigan City, IN 46360-2910
Phone (219) 878-9531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Specialists, PC. CurrentSince Jun 1, 2018 Accepting new patients

Locations

425 Sand Creek Dr
Chesterton, IN 46304
Phone (219) 395-9353

3229 Broadway
Ste 160
Gary, IN 46409
Phone (219) 806-3011

5500 Hohman Ave
Ste 1C
Hammond, IN 46320
Phone (219) 832-4006

9222 Indianapolis Blvd
Ste C
Highland, IN 46322
Phone (219) 301-5212

9836 W 400 N
#B
Michigan City, IN 46360
Phone (219) 878-9531

5823 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 764-8020

606 Lincolnway
Valparaiso, IN 46383
Phone (219) 464-0083

Interoperability endpoints

  • Direct secure messaging: jonathan.silverman@direct.davitaphysiciansolutions.com
  • Direct secure messaging: jsilverman401573@direct.franciscanalliance.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Professional Care Home Health ServicesHighland, IN, CCN 157558 Home health agency Corporate Director Jul 13, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1104168251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 N HARBOR DR",
            "address_2": "UNIT 2304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017514",
            "telephone_number": "219-718-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.