Individual provider Active NPI

Jaini Viren Mody, M.D.

  • Family Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1790947554
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125058454 Issued in IL
Practice address
1089 N Salem Dr
Schaumburg, IL 60194-1331
Phone
(847) 882-1438
NPI assigned
Jul 1, 2008
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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 125058454 IL Primary

Addresses

Primary practice location

1089 N Salem Dr
Schaumburg, IL 60194-1331

Mailing address

8816 Oswego Ave
Morton Grove, IL 60053-1929

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130219000428 IL Practitioner - Family Practice 8123273364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Cardiologist IncGroup PAC ID 1658648050, 27 clinicians

Practice addresses (Care Compare)

1345 Wiley Rd
Suite 111
Schaumburg, IL 60173-4356
Phone (847) 490-0060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125058454ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stat Cardiologist Inc CurrentSince Dec 14, 2023 Accepting new patients
Skypoint Medical Center, SC CurrentSince Sep 1, 2012 Accepting new patients
Stat Medical Practices Inc Family Medicine PastSince May 5, 2026 Accepting new patients

Locations

145 E Algonquin Rd
Arlington Heights, IL 60005
Phone (630) 280-4570

3295 N Arlington Heights Rd
Ste 102
Arlington Heights, IL 60004
Phone (847) 392-7400

238 W Cermak Rd
Ste 2C
Chicago, IL 60616

755 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 680-7002

3033 Ogden Ave
Lisle, IL 60532
Phone (630) 364-8523

1875 W Dempster St
Ste 605
Park Ridge, IL 60068
Phone (847) 439-8780

1089 N Salem Dr
Schaumburg, IL 60194
Phone (847) 786-8479

1102 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 301-7773

1140 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 385-4828

1345 Wiley Rd
Ste 111
Schaumburg, IL 60173
Phone (630) 451-9694

1365 Wiley Rd
Ste 146
Schaumburg, IL 60173
Phone (630) 217-6251

1365 Wiley Rd
Ste 149
Schaumburg, IL 60173
Phone (847) 259-8226

942 E Roosevelt Rd
West Chicago, IL 60185
Phone (630) 415-2009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jmody406349@direct.myadvocateaurora.org

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

Hospital & facility affiliations 4

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1790947554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 OSWEGO AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 N SALEM DR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601941331",
            "telephone_number": "847-882-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODY",
        "first_name": "JAINI",
        "middle_name": "VIREN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125058454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.