Individual provider Active NPI

Howard Arya Jaffe, M.D.

  • Pulmonary Disease Physician
  • Chicago, IL
National Provider Identifier
1285724765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
036-088980ILMDPulmonary Disease Physician

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.