Active NPI
Jonathan Moreira, MD
- Hematology & Oncology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036.130504
- Practice address
- 1740 W Taylor St
Chicago, IL 60612-7232 - Phone
- (312) 996-1581
- Fax
- (312) 413-4131
- NPI assigned
- Aug 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036.130504 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 036.130504 | IL | Primary |
Addresses
Primary practice location
1740 W Taylor St
Chicago, IL 60612-7232
Mailing address
676 N. St Clair St
850
Chicago, IL 60611
Phone (312) 695-6180
Other practice location 1
675 N Saint Clair St
Chicago, IL 60611-5975
Phone (312) 926-6895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1460 N Halsted St
Suite 504
Chicago, IL 60642-2613
Phone (312) 926-6146
15300 W Ave
Orland Park, IL 60462-4600
250 E Superior
2304 Nwmff Prent WMN Hosp
Chicago, IL 60611-2914
Phone (312) 472-3660
250 E Superior St
Chicago, IL 60611-2914
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
4445 W Irving Park Rd
Chicago, IL 60641-2808
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
870 N Milwaukee Ave
Vernon Hills, IL 60061-1521
Hospital & facility affiliations
- Accentcare Home Health of Illinois
- Northwestern Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Palos Community Hospital
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.130504 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Internal Medicine | Current | Accepting new patients |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
675 N Saint Clair St
Ste 21-100
Chicago, IL 60611
Phone (312) 908-5284
9532 Eagle Way
Chicago, IL 60678
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
675 N Saint Clair St
Chicago, IL 60611
Phone (312) 664-3278
676 N Saint Clair St
Ste 850
Chicago, IL 60611
Phone (312) 695-6180
840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1942244645
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- Home Health Agency
- Lombard, IL
- NPI 1528094109
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336371590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N. ST CLAIR ST",
"address_2": "850",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-695-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127232",
"telephone_number": "312-996-1581",
"fax_number": "312-413-4131"
}
],
"practiceLocations": [
{
"address_1": "675 N Saint Clair St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606115975",
"country_code": "US",
"telephone_number": "312-926-6895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOREIRA",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.130504",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036.130504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.