Active NPI
Jamie Fyda, MD
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1518548429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036147275
- Practice address
- 1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327 - Phone
- (773) 248-2255
- Fax
- (773) 524-2466
- NPI assigned
- Apr 21, 2021
- Last updated
- Apr 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036147275 | IL | Primary |
| Psychiatry Physician | 2084P0800X | 72417 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Mailing address
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Phone (773) 248-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1203 W Augusta Blvd
Chicago, IL 60642-4327
Phone (773) 248-2255
16913 Hwy 7
Minnetonka, MN 55345-3326
Phone (630) 927-0218
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.25 of 100
- Quality
- 80.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1518548429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 W AUGUSTA BLVD STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606424327",
"telephone_number": "773-248-2255",
"fax_number": "773-524-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 W AUGUSTA BLVD STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606424327",
"telephone_number": "773-248-2255",
"fax_number": "773-524-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FYDA",
"first_name": "JAMIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036147275",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "72417",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.