Individual provider Active NPI

Alok Indraprakash Jaju, MD

  • Pediatric Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1295996460
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
69975 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-1213
NPI assigned
Jun 20, 2008
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036-128852 IL
Pediatric Radiology Physician 2085P0229X 036-128852 IL
Diagnostic Radiology Physician 2085R0202X 2010038063 MO
Pediatric Radiology Physician 2085P0229X 69975 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124

Other practice location 1

225 E Chicago Ave
Box 9
Chicago, IL 60611-2991
Phone (312) 227-3501

Other practice location 2

4420 Dixie Hwy Ste 114
Louisville, KY 40216-2986
Phone (502) 449-6464

Other practice location 3

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-7650

Other identifiers 2

IdentifierTypeStateIssuer
187912MedicaidAZ
201087410MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ, IN, KY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120608000205 IL Practitioner - Diagnostic RadiologyPractitioner - Pediatric Medicine 1355538240 Reassigns benefits to 1 organization
I20231121003900 AZ Practitioner - Interventional Radiology 1355538240 Reassigns benefits to 1 organization
I20250919001831 IN Practitioner - Diagnostic Radiology 1355538240 Reassigns benefits to 2 organizations
I20250922001795 KY Practitioner - Diagnostic Radiology 1355538240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, shared by 2 NPIs, 234 clinicians
Phoenix Children's HospitalGroup PAC ID 0446278584, 431 clinicians

Practice addresses (Care Compare)

1451 N Gardner St
Scottsburg, IN 47170-7751
Phone (502) 629-7650

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0930

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-1234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-128852ILMDNeuroradiology Physician
69975AZMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Pediatric Radiology CurrentSince Sep 1, 2025 Accepting new patients
Phoenix Children's Hospital CurrentSince Nov 1, 2023 Accepting new patients
Norton Childrens Medical Group, LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Phoenix Children's Medical Group CurrentSince Nov 1, 2023 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Lurie Children's Medical Group Inc CurrentSince Dec 1, 2020 Accepting new patients
Community Medical Associates, Inc. Pediatric Radiology Past Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

Claims Remittance
Carol Stream, IL 60122

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

225 E Chicago Ave
#9
Chicago, IL 60611
Phone (312) 227-4500

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

2100 Pfingsten Rd
Glenview, IL 60026
Phone (847) 657-5800

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

630 Broadway St
#2
Madison, IN 47250
Phone (812) 801-0995

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

4420 Dixie Hwy
Ste 114
Louisville, KY 40216
Phone (502) 449-6464

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

2933 Breckenridge Ln
Ste 103
Louisville, KY 40220
Phone (502) 394-5678

Organizations & group practices 12

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1295996460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-1213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Chicago Ave",
            "address_2": "Box 9",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "312-227-3501",
            "fax_number": "312-227-9786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Dixie Hwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162986",
            "country_code": "US",
            "telephone_number": "502-449-6464",
            "fax_number": "502-449-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-7650",
            "fax_number": "502-629-7663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAJU",
        "first_name": "ALOK",
        "middle_name": "INDRAPRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036-128852",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036-128852",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2010038063",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "AZ",
            "license": "69975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187912",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.