Individual provider Active NPI

Jayesh M Madhani, MD

  • Cardiovascular Disease Physician
  • Whiting, IN
National Provider Identifier
1457461576
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01044088A Issued in IN
Practice address
2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone
(219) 659-7000
Fax
(219) 659-9018
NPI assigned
Aug 30, 2006
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01044088A IN Primary

Addresses

Primary practice location

2075 Indianapolis Blvd
Whiting, IN 46394-1948

Mailing address

10654 Misty Hill Rd
Orland Park, IL 60462-7443
Phone (708) 288-5006

Other identifiers 2

IdentifierTypeStateIssuer
036091367MedicaidIL
200109410AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayehsmadhani@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090622000661 IL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0244381887 Reassigns benefits to 3 organizations
Practice locations: Chicago, IL
I20100408000180 IN Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0244381887 Practice locations: Whiting, IN
I20230906003369 IL Practitioner - Cardiovascular Disease (Cardiology) 0244381887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedell Clinic, S. C.Group PAC ID 2567366164, 24 clinicians

Practice addresses (Care Compare)

1625 E 75TH St
FL 1
Chicago, IL 60649-3603

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044088AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 25, 2023 Accepting new patients
Mohana Health Care LTD CurrentSince May 2, 2009 Accepting new patients
Friedell Clinic, S. C. CurrentSince Jan 1, 1997 Accepting new patients
Chandra Diagnostic Cardiology LTD Cardiovascular Disease CurrentSince Feb 1, 2023 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Prime Cardiac Association P C PastSince Jun 27, 2021 Accepting new patients

Locations

1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2828

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

3641 E 108th St
Chicago, IL 60617
Phone (773) 731-5466

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

7531 S Stony Island Ave
#251
Chicago, IL 60649

3330 W 177th St
Ste 3E
Hazel Crest, IL 60429
Phone (708) 798-4500

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

Interoperability endpoints

  • Direct secure messaging: jayehsmadhani@direct.practicefusion.com
  • Direct secure messaging: jayeshmadhani@jph.medalliesdirect.net
  • Direct secure messaging: jmadhani64063@direct.franciscanalliance.org

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 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1457461576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10654 MISTY HILL RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627443",
            "telephone_number": "708-288-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941948",
            "telephone_number": "219-659-7000",
            "fax_number": "219-659-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHANI",
        "first_name": "JAYESH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01044088A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091367",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109410A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayehsmadhani@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "2075 Indianapolis Blvd",
            "city": "Whiting",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463941948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

Verify at the official NPI Registry.