NPIMap

Individual provider Active NPI

Jasdip Singh Brar, M.D.

  • Internal Medicine Physician
  • Glendale Heights, IL
National Provider Identifier
1386820058
Registry record updated Oct 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.120864 Issued in IL
Practice address
701 Winthrop Ave
Glendale Heights, IL 60139-1405
Phone
(630) 545-4935
Fax
(630) 592-2239
NPI assigned
Jan 12, 2008
Last updated
Oct 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.120864 IL Primary

Addresses

Primary practice location

701 Winthrop Ave
Glendale Heights, IL 60139-1405

Mailing address

201 Astoria CT
Barrington, IL 60010-5177
Phone (630) 545-4935

Other identifiers 1

IdentifierTypeStateIssuer
036120864MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drjasbrar@direct.practicefusion.com Health Information Exchange (HIE)
Direct Messaging Address drjasbrar@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000103 IL Practitioner - Internal Medicine 5991864316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Rehabilitation Care, LLCGroup PAC ID 8628253259, 21 clinicians

Practice addresses (Care Compare)

800 E Woodfield Rd
Suite 111
Schaumburg, IL 60173-4763
Phone (224) 449-0759

9700 Gross Point Rd
Skokie, IL 60076-1175
Phone (847) 674-7210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.120864ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation Care, LLC CurrentSince Oct 17, 2024 Accepting new patients
Jas Brar M.D., S.C. Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients

Locations

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

701 Winthrop Ave
Glendale Hts, IL 60139
Phone (630) 312-2000

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

800 E Woodfield Rd
Ste 111
Schaumburg, IL 60173
Phone (224) 449-0759

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: drjasbrar@direct.practicefusion.com

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
Abbington Village Nursing and Rehabilitation CenterRoselle, IL, CCN 146065 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2022
Jul 1, 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 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1200096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1386820058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ASTORIA CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105177",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WINTHROP AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391405",
            "telephone_number": "630-545-4935",
            "fax_number": "630-592-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "JASDIP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-12",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.120864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120864",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjasbrar@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "practice fusion direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Winthrop Ave",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601391405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjasbrar@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "practice fusion direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Winthrop Ave",
            "city": "Glendale Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601391405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

Verify at the official NPI Registry.