Active NPI
Howard Arya Jaffe, M.D.
- Pulmonary Disease Physician
- Chicago, IL
National Provider Identifier
1285724765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Practice address
- 820 South Damen Street
Pccsm, Dept Med (111), Jesse Brown VA Medical Center
Chicago, IL 60612 - Phone
- (312) 569-6906
- Fax
- (312) 569-8123
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | IL | Primary |
Addresses
Primary practice location
820 South Damen Street
Pccsm, Dept Med (111), Jesse Brown VA Medical Center
Chicago, IL 60612
Mailing address
820 South Damen Street
Pccsm, Dept Med (111), Jesse Brown VA Medical Center
Chicago, IL 60612
Phone (312) 569-6906
Other names 1
- Dr. H. Ari Jaffe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-088980 | IL | MD | Pulmonary Disease Physician |
Interoperability endpoints
- hjaffe17137@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285724765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SOUTH DAMEN STREET",
"address_2": "PCCSM, DEPT MED (111), JESSE BROWN VA MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-569-6906",
"fax_number": "312-569-8123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SOUTH DAMEN STREET",
"address_2": "PCCSM, DEPT MED (111), JESSE BROWN VA MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-569-6906",
"fax_number": "312-569-8123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "HOWARD",
"middle_name": "ARYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "H.",
"last_name": "JAFFE",
"middle_name": "ARI",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.