Individual provider Active NPI

Jaime Braverman, MD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1346509346
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.137790 Issued in IL
Practice address
5721 S Maryland Ave
Mc8016, K155
Chicago, IL 60637-1425
Phone
(888) 824-0200
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 036137790 IL
Pediatrics Physician 208000000X 036.137790 IL Primary

Addresses

Primary practice location

5721 S Maryland Ave
Mc8016, K155
Chicago, IL 60637-1425

Mailing address

5721 S Maryland Ave
Mc8016, K155
Chicago, IL 60637-1425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180808000164 IL Practitioner - Pediatric Medicine 4981908654 Reassigns benefits to 2 organizations
I20260415003006 AZ Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 4981908654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

304 S Cuyler Ave
Oak Park, IL 60302-3516

525 W Brown Rd
Mesa, AZ 85201-3202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.137790ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Pediatrics CurrentSince Jul 20, 2018 Accepting new patients
Rush University Medical Group Pediatrics CurrentSince Nov 1, 2020 Accepting new patients
Cook County CurrentSince Jul 20, 2018 Accepting new patients
Rush University Medical Center CurrentSince Nov 1, 2020 Accepting new patients
Cook County Current Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1653 W Congress Pkwy
Ste 622
Chicago, IL 60612
Phone (312) 942-5068

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

Interoperability endpoints

  • Direct secure messaging: jbraverman131907@direct.rush.rush-health.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1346509346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE",
            "address_2": "MC8016, K155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 S MARYLAND AVE",
            "address_2": "MC8016, K155",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371425",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "JAIME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "IL",
            "license": "036137790",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.137790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.