Active NPI
Jason W Oehler
- Medical Physician Assistant
- Melrose Park, IL
National Provider Identifier
1821166059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085002383
- Practice address
- 675 W North Ave
Suite 402
Melrose Park, IL 60160-1634 - Phone
- (708) 681-7888
- Fax
- (708) 681-7327
- NPI assigned
- Dec 4, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085002383 | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite 402
Melrose Park, IL 60160-1634
Mailing address
655 Deerfield Rd
Suite 100 PMB 418
Deerfield, IL 60015-3241
Phone (708) 681-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085002383 | Other | IL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (219) 767-6320
1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085002383 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Minimally Invasive Therapies, LLC | Past | Accepting new patients | |
| Radiology Imaging Consultants S C | Past | Accepting new patients | |
| Affiliated Radiologists, SC | Past | Accepting new patients | |
| Lee Jenkins MD SC | Past | Accepting new patients |
Interoperability endpoints
- joehler65151@direct.franciscanalliance.org
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Specialist
- Chicago, IL
- NPI 1467402347
-
- Point of Service
- Melrose Park, IL
- NPI 1548308380
-
- Surgery Physician
- Melrose Park, IL
- NPI 1073551644
-
dba Oaklawn Radiology Imaging Consultants
- Diagnostic Radiology Physician
- Oak Lawn, IL
- NPI 1881647386
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1821166059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 DEERFIELD RD",
"address_2": "SUITE 100 PMB 418",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600153241",
"telephone_number": "708-681-7888",
"fax_number": "708-681-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE 402",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-681-7888",
"fax_number": "708-681-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OEHLER",
"first_name": "JASON",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085002383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "085002383",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.