Individual provider Active NPI

Kamlesh Kumar Jha, MD

  • Neonatal-Perinatal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1457667677
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
01086707A Issued in IN
Practice address
8111 Township Line Rd
Indianapolis, IN 46260-2479
Phone
(317) 415-7921
NPI assigned
Aug 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125053639 IL
Neonatal-Perinatal Medicine Physician 2080N0001X 01086707A IN Primary

Addresses

Primary practice location

8111 Township Line Rd
Indianapolis, IN 46260-2479

Mailing address

8111 Township Line Rd
Indianapolis, IN 46260-2479
Phone (317) 415-7921

Other practice location 1

1900 W Harrison St
Chicago, IL 60612-3736
Phone (312) 850-9256

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
I20150403000462 IL Practitioner - Pediatric Medicine 8729305610 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053639ILMDPediatrics Physician
01086707AINMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation Current Accepting new patients
University of Chicago CurrentSince Oct 16, 2023 Accepting new patients
Cook County CurrentSince Dec 9, 2014 Accepting new patients
Mount Sinai Community Foundation CurrentSince May 14, 2017 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 16, 2023 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 16, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince May 14, 2017 Accepting new patients
Cook County Current Accepting new patients
Cook County Pediatrics CurrentSince Dec 9, 2014 Accepting new patients
Ram Velamati MD SC Neonatal-Perinatal Medicine Past Accepting new patients
North Mississippi Gilmore Clinics, LLC Pediatrics Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

1900 W Polk St
#1200
Chicago, IL 60612
Phone (312) 864-0917

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

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

Interoperability endpoints

  • Direct secure messaging: kjhamd237186@uchospital.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1457667677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602479",
            "telephone_number": "317-415-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602479",
            "telephone_number": "317-415-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123736",
            "country_code": "US",
            "telephone_number": "312-850-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "KAMLESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125053639",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01086707A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.