Individual provider Active NPI

Teresa Asam-Jensen, M.D.

  • Internal Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1487851184
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.125741 Issued in IL
Practice address
1645 S River Rd Ste 2
Des Plaines, IL 60018-2206
Phone
(224) 803-2273
Fax
(224) 803-2274
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 036.125741 IL
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036.125741 IL Primary

Addresses

Primary practice location

1645 S River Rd Ste 2
Des Plaines, IL 60018-2206

Mailing address

1645 S River Rd Ste 2
Des Plaines, IL 60018-2206
Phone (224) 803-2273

Other practice location 1

1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tfrances.jensen@practicefusion.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000443 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0749458271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgecare IncGroup PAC ID 2769709062, 5 clinicians
My Catholic Doctor PLLCGroup PAC ID 7214367101, 25 clinicians

Practice addresses (Care Compare)

1645 S River Rd
Suite 2
Des Plaines, IL 60018-2206
Phone (224) 803-2273

512 S Delphia Ave
Park Ridge, IL 60068-4519
Phone (314) 888-5233

Hospital & facility affiliations

  • Comprehensive Home Care Inc. Home health agency, Chicago, IL, CCN 147589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.125741ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Single Specialty Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2011 Accepting new patients
Board of Trustees of the University of Illinois Single Specialty CurrentSince Jul 1, 2011 Accepting new patients
Bridgecare, Inc. Single Specialty CurrentSince Aug 25, 2021 Accepting new patients
Chuck R. Colas, D.O., P.C. Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

1645 S River Rd
Ste 2
Des Plaines, IL 60018
Phone (224) 803-2273

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1487851184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206",
            "telephone_number": "224-803-2273",
            "fax_number": "224-803-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S RIVER RD STE 2",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182206",
            "telephone_number": "224-803-2273",
            "fax_number": "224-803-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Newfield Ave",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051409",
            "country_code": "US",
            "telephone_number": "314-888-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAM-JENSEN",
        "first_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.125741",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.125741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tfrances.jensen@practicefusion.org",
            "affiliation": "N",
            "endpointDescription": "EMR messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "1645 S River Rd Ste 2",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600182206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.