Individual provider Active NPI

Jeffrey A Lindahl, MD

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1477550887
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036076396 Issued in IL
Practice address
1430 N Arlington Heights Rd
Suite 105
Arlington Heights, IL 60004-4830
Phone
(847) 255-0800
Fax
(847) 255-8054
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 036076396 IL Primary

Addresses

Primary practice location

1430 N Arlington Heights Rd
Suite 105
Arlington Heights, IL 60004-4830

Mailing address

1430 N Arlington Heights Rd
Suite 105
Arlington Heights, IL 60004-4830
Phone (847) 255-0800

Other practice location 1

231 E Northwest Hwy
Palatine, IL 60067-8114
Phone (847) 202-6020

Other identifiers 1

IdentifierTypeStateIssuer
01615768OtherILBCBS OF IL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.lindahl.1@380.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Home Visiting Physicians Past Accepting new patients
Alexian Brothers Behavioral Health Hospital PastSince May 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffrey.lindahl.1@380.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1477550887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-0800",
            "fax_number": "847-255-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 105",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044830",
            "telephone_number": "847-255-0800",
            "fax_number": "847-255-8054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600678114",
            "country_code": "US",
            "telephone_number": "847-202-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDAHL",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036076396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01615768",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.lindahl.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "231 E Northwest Hwy",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600678114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.