Active NPI
Jacob D Bitran, M.D.
- Hematology & Oncology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036045731
- Practice address
- 1700 Luther LN
Park Ridge, IL 60068-1270 - Phone
- (847) 268-8200
- Fax
- (847) 410-0051
- NPI assigned
- Mar 23, 2006
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036045731 | IL | Primary |
Addresses
Primary practice location
1700 Luther LN
Park Ridge, IL 60068-1270
Mailing address
1700 Luther LN Ste 2200
Park Ridge, IL 60068-1270
Phone (847) 268-8200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L79357 | Other | IL | PIN |
| 036045531 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api.FHIR/DSTU2/ | Direct | |
| Direct Messaging Address | jbitran205051@direct.myadvocateaurora.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Illinois Medical College, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
Hospital & facility affiliations
- Midwestern Region Med Center, Inc
- Advocate Illinois Masonic Medical Center
- Advocate Lutheran General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036045731 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients | |
| Humboldt Park Health | Current | Accepting new patients |
Locations
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1044 N Mozart St
#200
Chicago, IL 60622
Phone (773) 292-8227
1044 N Mozart St
Ste 206
Chicago, IL 60622
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
Interoperability endpoints
- jbitran@oncmed.direct.varian.com
- jbitran270183@cityofhope.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Family Medicine Physician
- Chicago, IL
- NPI 1740417153
-
- Hematology & Oncology Physician
- Park Ridge, IL
- NPI 1689794968
-
- Hematology & Oncology Physician
- Park Ridge, IL
- NPI 1902866171
-
- Hematology & Oncology Physician
- Skokie, IL
- NPI 1487774907
-
- Hematology & Oncology Physician
- Niles, IL
- NPI 1912027434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Lutheran General Hospital
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
dba City of Hope Cancer Center Chicago
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1407815822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 LUTHER LN STE 2200",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681270",
"telephone_number": "847-268-8200",
"fax_number": "847-318-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LUTHER LN",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681270",
"telephone_number": "847-268-8200",
"fax_number": "847-410-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITRAN",
"first_name": "JACOB",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036045731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "L79357",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045531",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api.FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1700 Luther Ln",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681270",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbitran205051@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1700 Luther Ln",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681270",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.