Individual provider Active NPI

Janandana Kaladhini Jeganmohan, M.D.

  • Family Medicine Physician
  • Channahon, IL
National Provider Identifier
1942468145
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036120200 Issued in IL
Practice address
27025 W Eames St Unit B
Channahon, IL 60410-5620
Phone
(815) 467-1988
NPI assigned
May 26, 2008
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 036120200 IL Primary

Addresses

Primary practice location

27025 W Eames St Unit B
Channahon, IL 60410-5620

Mailing address

1014 E Patton Dr
Marion, IL 62959-3757
Phone (618) 997-4856

Other practice location 1

305 W Jackson St
Suite 200
Carbondale, IL 62901-1474
Phone (618) 536-6621

Other names 1

  • Mrs. Janandana Kaladhini Aguilar Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjeganmohan46409@ce-direct.presencehealth.org

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
I20080822000576 IL Practitioner - Family PracticePractitioner - Emergency Medicine 2264507466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

76 W Countryside Pkwy
Yorkville, IL 60560-1967
Phone (630) 553-2722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120200ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients
Edward Health Ventures CurrentSince Nov 6, 2023 Accepting new patients
Edward Health Ventures CurrentSince Nov 6, 2023 Accepting new patients

Locations

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • Direct secure messaging: jjeganmohan264538@direct.edward.org
  • Direct secure messaging: jjeganmohan46409@ce-direct.presencehealth.org

Organizations & group practices 4

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 5

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": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1942468145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E PATTON DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593757",
            "telephone_number": "618-997-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27025 W EAMES ST UNIT B",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604105620",
            "telephone_number": "815-467-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jackson St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011474",
            "country_code": "US",
            "telephone_number": "618-536-6621",
            "fax_number": "618-453-1102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEGANMOHAN",
        "first_name": "JANANDANA",
        "middle_name": "KALADHINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036120200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjeganmohan46409@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "27025 W Eames St Unit B",
            "city": "Channahon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604105620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANANDANA",
            "last_name": "AGUILAR",
            "middle_name": "KALADHINI",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Channahon, IL

Sources for this page

Verify at the official NPI Registry.