Active NPI
Aandrei Jivendra Jha, M.D
- Surgery Physician
- Chicago, IL
National Provider Identifier
1649415928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125055579
- Practice address
- 836 W Wellington Ave
Room 4807
Chicago, IL 60657-5147 - Phone
- (773) 296-7093
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125055579 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Room 4807
Chicago, IL 60657-5147
Mailing address
856 W Nelson St
Apartment 2004
Chicago, IL 60657-5152
Phone (347) 451-2302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125055579 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Group Hospitals | Past | Accepting new patients | |
| Metropolitan Group Hospitals | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1598916439
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912159310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1649415928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 W NELSON ST",
"address_2": "APARTMENT 2004",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575152",
"telephone_number": "347-451-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"address_2": "ROOM 4807",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JHA",
"first_name": "AANDREI",
"middle_name": "JIVENDRA",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125055579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.