Individual provider Active NPI

Jasshan Mahesh Mehrotra, M.D.

  • Pulmonary Disease Physician
  • Naperville, IL
National Provider Identifier
1194135368
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036143395 Issued in IL
Practice address
100 Spalding Dr Ste 200
Naperville, IL 60540-6552
Phone
(630) 355-8776
Fax
(630) 355-7445
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036143395 IL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036143395 IL

Addresses

Primary practice location

100 Spalding Dr Ste 200
Naperville, IL 60540-6552

Mailing address

100 Spalding Dr Ste 200
Naperville, IL 60540-6552
Phone (630) 355-8776

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmehrota585189@fhsce.catholichealth.net Direct
Direct Messaging Address jmehrotra264246@direct.edward.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180220000351 IL Practitioner - HospitalistPractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305147398 Reassigns benefits to 1 organization
I20231016002854 IL Practitioner - Pulmonary Disease 6305147398 Reassigns benefits to 4 organizations
I20231228002457 WI Practitioner - Critical Care (Intensivists) 6305147398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

100 Spalding Dr
Naperville, IL 60540-6552

2650 Ridge Ave
Evanston, IL 60201-1700

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-5197

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3378WIMDGeneral Practice Dentistry
036143395ILMDCritical Care Medicine (Internal Medicine) Physician
007378GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Memorial Hospital CurrentSince Sep 23, 2023 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Rush Oak Park Nocturnist Internal Medicine CurrentSince Jan 10, 2018 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Dec 18, 2023 Accepting new patients
Edward Health Ventures CurrentSince Sep 25, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Ascension NE Wisconsin, Inc Current Accepting new patients
Edward Hospital CurrentSince Sep 23, 2023 Accepting new patients
Edward Hospital CurrentSince Sep 23, 2023 Accepting new patients
Edward Health Ventures CurrentSince Sep 25, 2023 Accepting new patients

Locations

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

9532 Eagle Way
Chicago, IL 60678

75 Remittance Dr
Chicago, IL 60675

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

100 Spalding Dr
Ste 200
Naperville, IL 60540
Phone (630) 355-5860

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

100 Spalding Dr
Naperville, IL 60540
Phone (630) 357-2900

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: jmehrota585189@fhsce.catholichealth.net

Organizations & group practices 10

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 3

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1194135368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406552",
            "telephone_number": "630-355-8776",
            "fax_number": "630-355-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPALDING DR STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406552",
            "telephone_number": "630-355-8776",
            "fax_number": "630-355-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "JASSHAN",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036143395",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036143395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmehrota585189@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1708 Yakima Ave Ste 300",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmehrotra264246@direct.edward.org",
            "affiliation": "N",
            "address_1": "100 Spalding Dr Ste 200",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.