Individual provider Active NPI

Jai Nebhrajani, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1437513470
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036150261 Issued in IL
Practice address
722 W Maxwell St
Chicago, IL 60607-5002
Phone
(312) 996-2901
NPI assigned
Apr 6, 2016
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 036150261 IL Primary

Addresses

Primary practice location

722 W Maxwell St
Chicago, IL 60607-5002

Mailing address

285 Roosevelt Rd Ste a
Glen Ellyn, IL 60137-5618
Phone (630) 469-0045

Other practice location 1

501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2383

Other practice location 2

285 Roosevelt Rd Ste A
Glen Ellyn, IL 60137-5618
Phone (630) 469-0045

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
I20191010000390 IL Practitioner - Family Practice 1850687229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

285 Roosevelt Rd
Glen Ellyn, IL 60137-5618
Phone (630) 469-0045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036150261ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group Family Medicine CurrentSince Dec 20, 2024 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 31, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Central Dupage Physician Group CurrentSince Dec 20, 2024 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1919 W Taylor St
#663
Chicago, IL 60612
Phone (312) 996-0750

722 W Maxwell St
Chicago, IL 60607
Phone (312) 996-2901

722 W Maxwell St
#235
Chicago, IL 60607
Phone (312) 433-4114

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

285 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 469-0045

285 Roosevelt Rd
Ste A
Glen Ellyn, IL 60137
Phone (630) 469-0045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: jnebhrajani18654@uihealth.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.

Hospital & facility affiliations 2

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1437513470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 ROOSEVELT RD STE A",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375618",
            "telephone_number": "630-469-0045",
            "fax_number": "630-469-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 W MAXWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075002",
            "telephone_number": "312-996-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102401",
            "country_code": "US",
            "telephone_number": "570-343-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 Roosevelt Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375618",
            "country_code": "US",
            "telephone_number": "630-469-0045",
            "fax_number": "630-469-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEBHRAJANI",
        "first_name": "JAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036150261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.