Active NPI
Abelardo J Jarava, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1780690362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036086850
- Practice address
- 3336 N Ashland Ave
Chicago, IL 60657 - Phone
- (773) 472-2936
- Fax
- (773) 472-5306
- NPI assigned
- Aug 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086850 | Medicaid | IL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Illinois Professional Home Health, Inc
- Atnt Home Health Care, Inc
- Capital Hospice & Palliative Care LLC
- Presence Saints Mary and Elizabeth Medical Center
- Advocate Illinois Masonic Medical Center
- Swedish Hospital
- Center Home Hispanic Elderly
- Pavilion Of Logan Square, The
- Ambassador Nursing & Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036086850 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abelardo J. Jarava MD SC | Current | Accepting new patients | |
| Consultants in Cardiovascular Medicine, S. C. | Past | Accepting new patients |
Locations
3336 N Ashland Ave
Chicago, IL 60657
Phone (773) 472-2936
Interoperability endpoints
- 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 and National Provider Directory roles.
-
- Specialist
- Melrose Park, IL
- NPI 1164530713
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1679746317
Nursing home
-
- Home Health Agency
- Deerfield, IL
- NPI 1245253400
-
- Community Based Hospice Care Agency
- Oak Brook, IL
- NPI 1417392465
Hospice
-
- Skilled Nursing Facility
- Chicago, IL
- NPI 1649596313
Nursing home
-
- Home Health Agency
- Skokie, IL
- NPI 1134357932
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
Hospital
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086850",
"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 Mar 2, 2010; 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.