Individual provider Active NPI

Jingtao Huang, M.D., PH.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1174887020
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.137319 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036.137319 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965

Other practice location 1

1 Ingalls Dr
Harvey, IL 60426-3558
Phone (888) 824-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, 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
I20160714001494 IA Practitioner - Sleep Medicine 1355640251 Reassigns benefits to 1 organization
I20180507002089 IL Practitioner - Pediatric Medicine 1355640251 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13729 Spring LN
Orland Park, IL 60467-7614
Phone (563) 557-9111

1515 Delhi St
Suite 100
Dubuque, IA 52001-6320
Phone (563) 557-9111

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137319ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Aug 10, 2020 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Jun 24, 2024 Accepting new patients
University of Chicago CurrentSince Nov 26, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Pediatrics CurrentSince May 4, 2025 Accepting new patients
Access Community Health Network Current Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 26, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Nov 26, 2025 Accepting new patients
Ameriwound Physicians Il LLC CurrentSince Sep 1, 2019 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

27702 Network Pl
Chicago, IL 60673

19550 Governors Hwy
Ste 3500
Flossmoor, IL 60422
Phone (708) 922-9170

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

6703 159th St
Ste 115
Tinley Park, IL 60477
Phone (708) 342-1573

6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124

Interoperability endpoints

  • Direct secure messaging: jhuang417063@direct.unitypoint.org
  • Direct secure messaging: jhuangmd50505@uchospital.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1174887020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ingalls Dr",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604263558",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JINGTAO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.137319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.