NPIMap

Individual provider Active NPI

Jennifer Capezio, MD

  • Rheumatology Physician
  • Lake Forest, IL
National Provider Identifier
1528023058
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
36073163 Issued in IL
Practice address
900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674
Phone
(847) 234-6121
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 36073163 IL Primary

Addresses

Primary practice location

900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674

Mailing address

900 N Westmoreland Rd
Suite 222
Lake Forest, IL 60045-1674
Phone (847) 234-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000198 IL Practitioner - RheumatologyPractitioner - Internal Medicine 8022072867

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Texas Southwestern Medical School at Dallas, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

680 N Lake Shire Dr
Suite 1000
Chicago, IL 60611-8709

900 N Westmoreland Rd
Suite 218
Lake Forest, IL 60045-1681

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281
  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36073163ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novas, Dohr & Coll OB GYN Associates,S.C. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2019 Accepting new patients
Central Dupage Physician Group Rheumatology Past Accepting new patients
Dermatologists of Illinois, PLLC Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

900 N Westmoreland Rd
Ste 218
Lake Forest, IL 60045
Phone (847) 739-2126

800 N Westmoreland Rd
Ste 201
Lake Forest, IL 60045
Phone (847) 388-0603

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

900 N Westmoreland Rd
Ste 222
Lake Forest, IL 60045
Phone (847) 234-6121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGIHCD

Organizations & group practices 5

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 8

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1528023058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 222",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-234-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 222",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-234-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEZIO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "36073163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.