Individual provider Active NPI

Jo-Ann Jose, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1568722650
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036165894 Issued in IL
Practice address
676 N Saint Clair St Ste 940
Chicago, IL 60611-2945
Phone
(312) 926-8358
Fax
(312) 926-9630
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 208111 LA
Infectious Disease Physician 207RI0200X 036165894 IL Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 940
Chicago, IL 60611-2945

Mailing address

676 N Saint Clair St Ste 940
Chicago, IL 60611-2945
Phone (312) 926-8358

Other practice location 1

2601 Tulane Ave
Suite 500
New Orleans, LA 70119-7462
Phone (504) 821-2601 ext. 222

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
I20231226001372 IL Practitioner - Internal MedicinePractitioner - Infectious Disease 8729365184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
R Franklin University of Med & Sci/Chicago Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tpa Network IncorporatedGroup PAC ID 9133565997, 10 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

5537 N Broadway St
Chicago, IL 60640-1405
Phone (773) 989-9400

676 N Saint Clair St
Suite 940
Chicago, IL 60611-2945
Phone (312) 926-8358

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

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
208111LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tpa Network Incorporated CurrentSince May 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 8, 2023 Accepting new patients
Tpa Network Incorporated CurrentSince May 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 8, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

5537 N Broadway St
Chicago, IL 60640
Phone (773) 271-1439

676 N Saint Clair St
Ste 940
Chicago, IL 60611
Phone (312) 926-8358

1020 W Lawrence Ave
Ste 300
Chicago, IL 60640
Phone (773) 989-9400

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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

Organizations & group practices 4

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1568722650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112945",
            "telephone_number": "312-926-8358",
            "fax_number": "312-926-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 940",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112945",
            "telephone_number": "312-926-8358",
            "fax_number": "312-926-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Tulane Ave",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701197462",
            "country_code": "US",
            "telephone_number": "504-821-2601 x222",
            "fax_number": "504-267-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSE",
        "first_name": "JO-ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "208111",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036165894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.