Jaime S Baylock, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036-128942 Issued in IL

Practice address

19550 Governors Hwy
Suite 2000
Flossmoor, IL 60422-2125

Phone

(708) 957-8750

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Jaime N Sua Former name

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

Specialty

NephrologyAlso: Internal Medicine

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

Ucm Medical Group Sub LLC 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Calumet City Dialysis Dialysis facility, Calumet City, IL, CCN 142817
• DaVita South Holland Renal Center Dialysis facility, South Holland, IL, CCN 142544
• DaVita Country Hills Dialysis Dialysis facility, Country Club Hills, IL, CCN 142575
• DaVita Hazel Crest Renal Center Dialysis facility, Hazel Crest, IL, CCN 142622
• FMC - South Suburban Dialysis facility, Olympia Fields, IL, CCN 142517
• Ingalls Memorial Hospital Hospital, Harvey, IL, CCN 140191
• Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048
• The University of Chicago Medical Center Hospital, Chicago, IL, CCN 140088
• Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbaylock206378@direct.franciscanalliance.org
• Direct secure messaging: jbaylock202191@uchospital.direct-ci.com

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.

• Ucm Medical Group Sub, LLC

  • Family Medicine Physician
  • Harvey, IL
  • NPI 1467442293

  IL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Country Club Hills, IL
  • NPI 1073532420

  Dialysis facility

  Care Compare affiliation Name & address match
• Isd Renal Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hazel Crest, IL
  • NPI 1467478586

  Dialysis facility

  Care Compare affiliation Name & address match
• SSKG, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Olympia Fields, IL
  • NPI 1144251158

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Calumet City, IL
  • NPI 1356898944

  Dialysis facility

  Care Compare affiliation Name & address match
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Hazel Crest, IL
  • NPI 1467560128

  Hospital

  Care Compare affiliation
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1558479212

  Hospital

  Care Compare affiliation
• Franciscan Health Olympia Fields

  • General Acute Care Hospital
  • Olympia Fields, IL
  • NPI 1588771919

  Hospital

  Care Compare affiliation
• Ingalls Memorial Hospital

  • General Acute Care Hospital
  • Harvey, IL
  • NPI 1598756686

  Hospital

  Care Compare affiliation
• The University of Chicago Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1508956509

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1376774372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY",
            "address_2": "SUITE 2000",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-957-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY",
            "address_2": "SUITE 2000",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-957-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLOCK",
        "first_name": "JAIME",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036-128942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-128942",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "125056222",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "SUA",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel L Ballard
• Joseph Bardzinski, C.R.N.A
• Amy Amanda Bartelment, CF-SLP
• Robin Lee Bartkovsky, B.S., MAT
• Bridget Maureen Bates, DPT
• Jennifer Beckham, MSW, LCSW
• Lindsey Beham
• Behavior Momentum Intervention
• Janetta Bell, DEVELOPMENTAL THERAP
• Belle Lueur Wellness Spa LLC

• All providers in Flossmoor, IL
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.

Verify at the official NPI Registry.