Individual provider Active NPI

Lia Jordano, M.D.

  • Vascular Surgery Physician
  • Bolingbrook, IL
National Provider Identifier
1346655933
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036160316 Issued in IL
Practice address
396 Remington Blvd Ste 300
Bolingbrook, IL 60440-4314
Phone
(630) 789-3422
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036160316 IL Primary

Addresses

Primary practice location

396 Remington Blvd Ste 300
Bolingbrook, IL 60440-4314

Mailing address

396 Remington Blvd Ste 300
Bolingbrook, IL 60440-4314
Phone (630) 789-3422

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901002469 IL Practitioner - Vascular Surgery 3476850090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rush Medical College of Rush University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexian Brothers Specialty GroupGroup PAC ID 0840465084, 45 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 843-2000

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500

800 Biesterfield Rd
Elk Grove Village, IL 60007-3372
Phone (847) 981-3680

Hospital & facility affiliations

  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
70.57
Promoting interoperability
100
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036160316ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

396 Remington Blvd
Ste 300
Bolingbrook, IL 60440
Phone (630) 789-9093

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

Interoperability endpoints

  • Direct secure messaging: ljordano1239682@adventhealth.direct-ci.com
  • Direct secure messaging: lia.jordano.d1.p1@direct.cmi.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1346655933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 300",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404314",
            "telephone_number": "630-789-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD STE 300",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404314",
            "telephone_number": "630-789-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDANO",
        "first_name": "LIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036160316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.