Active NPI
Adelis R Arias Jimenez, MD
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.177721
- Practice address
- 4417 W Diversey Ave
Chicago, IL 60639-1923 - Phone
- (773) 377-7736
- Fax
- (815) 642-5723
- NPI assigned
- Dec 19, 2018
- Last updated
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.177721 | IL | Primary |
Addresses
Primary practice location
4417 W Diversey Ave
Chicago, IL 60639-1923
Mailing address
PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 377-7736
Other practice location 1
1819 N Harlem Ave
Chicago, IL 60707-3716
Phone (773) 589-4385
Other practice location 2
4848 W Irving Park Rd
Chicago, IL 60641-2718
Phone (773) 724-6200
Other names 1
- Adelis Rafael Jimenez
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703001534 | IL | Order and Referring Only - Family Practice | 6901265305 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
PO Box
Suite 746715
Atlanta, GA 30374-6715
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.177721 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Current | Accepting new patients | |
| JW Plastic Surgery PLLC | Past | Accepting new patients | |
| JW Operatory | Past | Accepting new patients |
Locations
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Plastic and Reconstructive Surgery Physician
- Highland Park, IL
- NPI 1578068524
-
- Specialist
- Key West, FL
- NPI 1093179103
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1558833202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746715",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746715",
"telephone_number": "773-377-7736",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391923",
"telephone_number": "773-377-7736",
"fax_number": "815-642-5723"
}
],
"practiceLocations": [
{
"address_1": "1819 N Harlem Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "607073716",
"country_code": "US",
"telephone_number": "773-589-4385",
"fax_number": "872-228-8601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4848 W Irving Park Rd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606412718",
"country_code": "US",
"telephone_number": "773-724-6200",
"fax_number": "773-866-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARIAS JIMENEZ",
"first_name": "ADELIS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-19",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.177721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADELIS",
"last_name": "JIMENEZ",
"middle_name": "RAFAEL",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 14, 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.