Individual provider Active NPI

Jason Edward Sterchi, D.C.

  • Chiropractor
  • Yorkville, IL
National Provider Identifier
1184899007
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011167 Issued in IL
Practice address
54 W Countryside Pkwy
Ste D
Yorkville, IL 60560-1959
Phone
(630) 553-8393
NPI assigned
Apr 23, 2008
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011167 IL Primary

Addresses

Primary practice location

54 W Countryside Pkwy
Ste D
Yorkville, IL 60560-1959

Mailing address

54 W Countryside Pkwy
Ste D
Yorkville, IL 60560-1959
Phone (630) 553-8393

Other identifiers 2

IdentifierTypeStateIssuer
K51894OtherILMEDICARE PTAN
0034740386OtherILBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000053 IL Practitioner - Chiropractic 5890866172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

54 W Countryside Pkwy
Suite D
Yorkville, IL 60560-1965
Phone (630) 553-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sterchi Chiropractic SC Chiropractor CurrentSince May 22, 2008 Accepting new patients

Locations

54 W Countryside Pkwy
Ste D
Yorkville, IL 60560
Phone (630) 553-1876

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.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1184899007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W COUNTRYSIDE PKWY",
            "address_2": "STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601959",
            "telephone_number": "630-553-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W COUNTRYSIDE PKWY",
            "address_2": "STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601959",
            "telephone_number": "630-553-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERCHI",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K51894",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0034740386",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.