Active NPI
Eias E Jweied, MD, PHD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036-100901
- Practice address
- 4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660 - Phone
- (708) 346-4040
- Fax
- (083) 463-2877
- NPI assigned
- Jan 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 56018-20 | WI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01067276A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036-100901 | IL | Primary |
Addresses
Primary practice location
4400 W 95TH St Ste 308
Oak Lawn, IL 60453-2660
Mailing address
9500 Bormet Dr Ste 204
Mokena, IL 60448-8399
Phone (708) 346-4044
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720132210 | Medicaid | MI | |
| 200992020D | Medicaid | IN | |
| 200992020B | Medicaid | IN | |
| 200992020E | Medicaid | IN | |
| 036100901 | Medicaid | IL | |
| 200992020C | Medicaid | IN | |
| 200992020A | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ejweied234568@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- George Washington University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 N George Mason Dr
Suite 288
Arlington, VA 22205-3683
Phone (703) 558-6491
Hospital & facility affiliations
- Virginia Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.33 of 100
- Quality
- 74.39
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 70.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-100901 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 01067276A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Hilton M. Hudson,MD PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1625 N George Mason Dr
Ste 288
Arlington, VA 22205
Phone (703) 558-6194
Interoperability endpoints
- ejweied140736@direct.rush.rush-health.com
- ejweied234568@direct.myadvocateaurora.org
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.
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- NPI 1144415480
DC
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- NPI 1245010479
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Arlington, VA
- NPI 1083056774
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Munster, IN
- NPI 1467644120
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1720132210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 BORMET DR STE 204",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488399",
"telephone_number": "708-346-4044",
"fax_number": "708-346-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 W 95TH ST STE 308",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532660",
"telephone_number": "708-346-4040",
"fax_number": "083-463-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JWEIED",
"first_name": "EIAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WI",
"license": "56018-20",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01067276A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036-100901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720132210",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992020D",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992020B",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992020E",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100901",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992020C",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200992020A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ejweied234568@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4400 W 95th St Ste 308",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.