Peter Loren Jaggard, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036062564 Issued in IL

Practice address

3200 Grant St
Evanston, IL 60201

Phone

(847) 492-4828

Fax

(847) 492-4810

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Rutgers New Jersey Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Entera Healthcare, LTD. Home health agency, Rosemont, IL, CCN 147841
• Suncrest Hospice Illinois LLC Hospice, Northbrook, IL, CCN 141696
• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Westminster Place Nursing home, Evanston, IL, CCN 145026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Westminster Place

  • Multi-Specialty Clinic/Center
  • Evanston, IL
  • NPI 1033179411
  Medicare reassignment NPD
• Presbyterian Homes

  • Inpatient Hospice
  • Evanston, IL
  • NPI 1700856903
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Entera Healthcare LTD

  • Home Health Agency
  • Rosemont, IL
  • NPI 1790857001
  Care Compare affiliation
• Suncrest Hospice Illinois LLC

  • Community Based Hospice Care Agency
  • Northbrook, IL
  • NPI 1003340050
  Care Compare affiliation
• Westminster Place

  • Skilled Nursing Facility
  • Evanston, IL
  • NPI 1750351425

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1639148372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRANT ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011903",
            "telephone_number": "847-492-4842",
            "fax_number": "847-492-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRANT ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-492-4828",
            "fax_number": "847-492-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGARD",
        "first_name": "PETER",
        "middle_name": "LOREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036062564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110213053",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Jaeger, MD
• Arshia Jafar Nia, DMD
• Harry Jay Jaffe, MD
• Marla Jaffe, OTR/L
• Mubasher Jaffri, DO
• Shana Sunder Jagwani, MD
• Rajat Kumar Jain, M.D.
• Sameer Jain, M.D.
• Lara J. Jakobsons, PH.D.
• James a Lovell Federal Health Care Center

• Geriatric Medicine (Internal Medicine) Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.

Verify at the official NPI Registry.