Individual provider Active NPI

Jorge A. Hinojosa, MD

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1295743300
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036046150 Issued in IL
Practice address
2320 W Peterson Ave
2ND. FL
Chicago, IL 60659-5242
Phone
(773) 508-9800
Fax
(773) 508-1796
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036046150 IL Primary

Addresses

Primary practice location

2320 W Peterson Ave
2ND. FL
Chicago, IL 60659-5242

Mailing address

2320 W Peterson Ave
2ND. FL
Chicago, IL 60659-5242
Phone (773) 508-9800

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
036046150ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diversey Medical Center SC Otolaryngology PastSince Aug 11, 2010 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1295743300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 W PETERSON AVE",
            "address_2": "2ND. FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W PETERSON AVE",
            "address_2": "2ND. FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595242",
            "telephone_number": "773-508-9800",
            "fax_number": "773-508-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "JORGE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036046150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2016; 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.