Active NPI
Jaini Viren Mody, M.D.
- Family Medicine Physician
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125058454
- Practice address
- 1089 N Salem Dr
Schaumburg, IL 60194-1331 - Phone
- (847) 882-1438
- NPI assigned
- Jul 1, 2008
- Last updated
- Jul 5, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125058454 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stat Cardiologist Inc | Current | Accepting new patients | |
| Skypoint Medical Center, SC | Current | Accepting new patients | |
| Stat Medical Practices Inc | Family Medicine | Past | 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
- https://api.platform.athenahealth.com/8847/brand/1/csg/1/fhir/r4
- 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.
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1528596350
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1649461278
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1174490023
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Lutheran General Hospital
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
dba Endeavor Health Northwest Community Hospital
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.