NPIMap

Individual provider Active NPI

Abelardo J Jarava, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1780690362
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036086850 Issued in IL
Practice address
3336 N Ashland Ave
Chicago, IL 60657
Phone
(773) 472-2936
Fax
(773) 472-5306
NPI assigned
Aug 1, 2006
Last updated
Mar 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036086850 IL Primary

Addresses

Primary practice location

3336 N Ashland Ave
Chicago, IL 60657

Mailing address

3336 N Ashland Ave
Chicago, IL 60657
Phone (773) 472-2936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000064 IL Practitioner - Family Practice 1355475302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3336 N Ashland Ave
Chicago, IL 60657-2109
Phone (773) 472-2936

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Abelardo J. Jarava MD SC CurrentSince Oct 1, 1992 Accepting new patients
Consultants in Cardiovascular Medicine, S. C. PastSince Oct 1, 1992 Accepting new patients

Locations

3336 N Ashland Ave
Chicago, IL 60657
Phone (773) 472-2936

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBCDBA/Endpoint/EBCDBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1780690362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-472-2936",
            "fax_number": "773-472-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-472-2936",
            "fax_number": "773-472-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAVA",
        "first_name": "ABELARDO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036086850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.