NPIMap

Individual provider Active NPI

Jason Ghodasra, M.D.

  • Orthopaedic Hand Surgery Physician
  • New Lenox, IL
National Provider Identifier
1316280159
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
036-150218 Issued in IL
Practice address
1870 Silver Cross Blvd Ste 200
New Lenox, IL 60451-8646
Phone
(815) 462-3474
Fax
(815) 462-1032
NPI assigned
Mar 29, 2013
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 036-150218 IL Primary

Addresses

Primary practice location

1870 Silver Cross Blvd Ste 200
New Lenox, IL 60451-8646

Mailing address

1870 Silver Cross Blvd Ste 200
New Lenox, IL 60451-8646
Phone (815) 462-3474

Other practice location 1

951 Essington Rd
Joliet, IL 60435-8439
Phone (815) 744-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000197 IL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6103155635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1870 Silver Cross Blvd
New Lenox, IL 60451-8639
Phone (815) 462-3474

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)116
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-150218ILMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Oct 1, 2020 Accepting new patients
Hinsdale Orthopaedic Associates, S.C. Current Accepting new patients
Hinsdale Orthopaedic Associates SC CurrentSince Aug 30, 2019 Accepting new patients
Hinsdale Orthopaedic Associates, SC CurrentSince Aug 30, 2019 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Oct 1, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

951 Essington Rd
Joliet, IL 60435
Phone (815) 744-4551

1870 Silver Cross Blvd
Ste 200
New Lenox, IL 60451
Phone (630) 323-6116

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1316280159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD STE 200",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518646",
            "telephone_number": "815-462-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD STE 200",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518646",
            "telephone_number": "815-462-3474",
            "fax_number": "815-462-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358439",
            "country_code": "US",
            "telephone_number": "815-744-4551",
            "fax_number": "815-744-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHODASRA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "036-150218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.