NPIMap

Individual provider Active NPI

Jamison D Allen, D.O.

  • Family Medicine Physician
  • Sycamore, IL
National Provider Identifier
1184614760
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036098973 Issued in IL
Practice address
2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150
Phone
(703) 964-8199
Fax
(815) 478-3070
NPI assigned
Oct 25, 2005
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036098973 IL Primary

Addresses

Primary practice location

2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150

Mailing address

2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150
Phone (703) 964-8199

Other identifiers 1

IdentifierTypeStateIssuer
036098973MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050308000910 IL Practitioner - Family Practice 5698729184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jamison Allen DO LLCGroup PAC ID 0345294831, 3 clinicians
Sycamore Medical Associates LLCGroup PAC ID 3274767686, 14 clinicians

Practice addresses (Care Compare)

1000 Randall Rd
Suite 225
Geneva, IL 60134-2594
Phone (630) 879-3500

1750 N Randall Rd
Suite 110
Elgin, IL 60123-7900
Phone (224) 629-4525

2560 Hauser Ross Dr
Sycamore, IL 60178-3150

2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3185
Phone (815) 748-3040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098973ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamison Allen DO LLC CurrentSince Jul 1, 2004 Accepting new patients
Sycamore Medical Associates LLC Family Medicine CurrentSince Sep 1, 2013 Accepting new patients
Surgery Group SC Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Limberis-Nelson Medical Group, S.C. Family Medicine Past Accepting new patients
Gateway Physical Therapy, LLC PastSince Apr 1, 2010 Accepting new patients

Locations

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

1750 N Randall Rd
Ste 110
Elgin, IL 60123
Phone (224) 629-4525

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1000 Randall Rd
Ste 225
Geneva, IL 60134
Phone (630) 845-4099

1665 South St
Geneva, IL 60134
Phone (630) 208-7874

2560 Hauser Ross Dr
Ste 450
Sycamore, IL 60178
Phone (815) 748-0315

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FABCDA

Organizations & group practices 6

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 6

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1184614760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 450",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "703-964-8199",
            "fax_number": "815-478-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 HAUSER ROSS DR",
            "address_2": "SUITE 450",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783150",
            "telephone_number": "703-964-8199",
            "fax_number": "815-478-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JAMISON",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.