Individual provider Active NPI

Jaime Lewis

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Chicago, IL
National Provider Identifier
1366678096
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
036130665 Issued in IL
Practice address
1725 W Harrison St
Suite 955
Chicago, IL 60612-3841
Phone
(312) 942-7030
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-130665 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036130665 IL Primary

Addresses

Primary practice location

1725 W Harrison St
Suite 955
Chicago, IL 60612-3841

Mailing address

1725 W Harrison St
Suite 955
Chicago, IL 60612-3841
Phone (312) 942-7030

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
I20131104001112 IL Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6204061021 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-130665ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Trinity Home Health Services CurrentSince Aug 8, 2022 Accepting new patients
Journeycare, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Trinity Home Health Services CurrentSince Aug 8, 2022 Accepting new patients
Journeycare, Inc CurrentSince Aug 1, 2017 Accepting new patients
Loyola University Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Jaime K Lewis, LLC Hospice and Palliative Medicine CurrentSince Apr 10, 2026 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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

1725 W Harrison St
Ste 955
Chicago, IL 60612
Phone (312) 563-3700

833 W Chicago Ave
Chicago, IL 60642
Phone (312) 492-3099

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

21 S La Grange Rd
Ste 200
La Grange, IL 60525
Phone (708) 955-1522

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

2301 W 22nd St
Ste 107
Oak Brook, IL 60523
Phone (630) 861-5200

Interoperability endpoints

  • Direct secure messaging: jlewis12336@direct.rush.rush-health.com
  • Direct secure messaging: jlewis164205@direct.luhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Loyola Medicine HospiceOak Brook, IL, CCN 141566 Hospice W-2 Managing Employee Aug 8, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1366678096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 955",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 955",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-130665",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036130665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.