Individual provider Active NPI

Jonathan Charles Parker Jr., M.D.

  • Family Medicine Physician
  • Batavia, IL
National Provider Identifier
1548309982
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36069180 Issued in IL
Practice address
815 N Randall Rd
Batavia, IL 60510-1992
Phone
(630) 482-6600
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01082742A IN
Family Medicine Physician 207Q00000X 36069180 IL Primary

Addresses

Primary practice location

815 N Randall Rd
Batavia, IL 60510-1992

Mailing address

815 N Randall Rd
Batavia, IL 60510-1992
Phone (630) 482-6600

Other practice location 1

7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723

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
I20050627000924 IL Practitioner - Family Practice 3678518917 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1039 Brook Forest Ave
Shorewood, IL 60404-8849
Phone (815) 733-5952

1850 Gateway Dr
Sycamore, IL 60178-3192

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
76.09 of 100Reported as individual
Quality
61.38
Improvement activities
40
Cost
71.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36069180ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E Mediate Cure LLC CurrentSince Feb 16, 2016 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 18, 2016 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2019 Accepting new patients
A Plus Healthcare Management LLC Current Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Central Dupage Physician Group CurrentSince Sep 1, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2019 Accepting new patients
Tri-Cities Immediate Care LLC PastSince Dec 16, 2010 Accepting new patients

Locations

2853 Kirk Rd
Aurora, IL 60502
Phone (630) 401-8447

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

1672 S Galena Ave
Dixon, IL 61021
Phone (708) 415-0267

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

224 E Railroad St
Sandwich, IL 60548
Phone (815) 786-7150

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Interoperability endpoints

  • Direct secure messaging: jonathan.parker.1@17829.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1548309982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N RANDALL RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101992",
            "telephone_number": "630-482-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N RANDALL RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101992",
            "telephone_number": "630-482-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7651 Harvest Dr",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463753476",
            "country_code": "US",
            "telephone_number": "219-322-5723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01082742A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36069180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

Verify at the official NPI Registry.