Active NPI
Harold Jaimes, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036088816
- Practice address
- 3153 W Fullerton Ave
Chicago, IL 60647-2809 - Phone
- (773) 395-4600
- Fax
- (773) 395-4633
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036088816 | IL | Primary |
Addresses
Primary practice location
3153 W Fullerton Ave
Chicago, IL 60647-2809
Mailing address
3153 W Fullerton Ave
Chicago, IL 60647-2809
Phone (773) 395-4600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088816 | Medicaid | IL | |
| 110141147 | Other | IL | RAILROAD MEDICARE |
| 1605620 | Other | IL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3153 W Fullerton Ave
Chicago, IL 60647-2809
Phone 7733954600100
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
- Advocate Good Samaritan Hospital
- Presence Saints Mary and Elizabeth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Internal Medicine | Current | Accepting new patients |
| Harold Jaimes, M.D. P.C | Internal Medicine | Current | Accepting new patients |
| Norman Minars, MD, PA | Past | Accepting new patients |
Locations
4060 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 987-6200
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
6342 S Pulaski Rd
Chicago, IL 60629
Phone (773) 284-8601
3153 W Fullerton Ave
Chicago, IL 60647
Phone (773) 278-6604
3800 Highland Ave
Ste 111
Downers Grove, IL 60515
Phone (630) 241-3779
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1295775146
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
Internal Medicine
-
- Specialist
- Hollywood, FL
- NPI 1831186170
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
dba Advocate Illinois Masonic Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1770526279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3153 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472809",
"telephone_number": "773-395-4600",
"fax_number": "773-395-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3153 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472809",
"telephone_number": "773-395-4600",
"fax_number": "773-395-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIMES",
"first_name": "HAROLD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036088816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088816",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110141147",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1605620",
"state": "IL"
}
],
"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 Oct 5, 2012; 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.