Active NPI
Jasvinder Chawla, MD
- Neurology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01079450A
- Practice address
- 2106 S First Ave
101 1740 Loyola University Medical Center
Maywood, IL 60153 - Phone
- (708) 216-9000
- Fax
- (708) 216-9033
- NPI assigned
- Jan 30, 2006
- Last updated
- Dec 1, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 36104108 | IL | |
| Vascular Neurology Physician | 2084V0102X | 36104108 | IL | |
| Neurology Physician | 2084N0400X | 36104108 | IL | |
| Neurology Physician | 2084N0400X | 01079450A | IN | Primary |
Addresses
Primary practice location
2106 S First Ave
101 1740 Loyola University Medical Center
Maywood, IL 60153
Mailing address
2106 S First Ave
101 1740 Loyola University Medical Center
Maywood, IL 60153
Phone (708) 216-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36104108 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, SD, NH, VT, LA, OK, TX, MD, AL, ME, SC, MT, AZ, MN, WI, IA, DC, PA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 20
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Indian Land, SC 29707
Phone (972) 449-0540
Mountain BRK, AL 35223
Phone (972) 449-0540
Chancellor, SD 57015
Phone (972) 449-0540
Oklahoma City, OK 73106
Phone (972) 449-0540
Arlington, TX 76005
Phone (972) 449-0540
Spring, TX 77382
Phone (972) 449-0540
Shenandoah, TX 77384
Phone (972) 449-0540
San Antonio, TX 78255
Phone (972) 449-0540
Avondale, AZ 85392
Phone (972) 449-0540
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (972) 449-0540
1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 882-3100
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (972) 449-0540
100 E Carroll St
Salisbury, MD 21801-5422
Phone (972) 449-0540
1000 4TH St SW
Mason City, IA 50401-2800
Phone (972) 449-0540
1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (972) 449-0540
1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (972) 449-0540
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540
1026 A Ave NE
Unitypoint St Lukes Hospital
Cedar Rapids, IA 52402-5036
Phone (972) 449-0540
10855 Virginia St
Crown Point, IN 46307-0210
Phone (972) 449-0540
1100 Mercer Ave
Decatur, IN 46733-2303
Phone (972) 449-0540
112 E 5TH Ave
Antigo, WI 54409-2710
Phone (972) 449-0540
1120 Pine St
Stanley, WI 54768-1297
Phone (972) 449-0540
11801 S Fwy
Burleson, TX 76028-7021
Phone (972) 449-0540
11890 Healing Way
Silver Spring, MD 20904-7917
Phone (972) 449-0540
1195 Boyson Rd
Suite 101
Hiawatha, IA 52233-2218
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079450A | IN | MD | Neurology Physician |
| 36104108 | IL | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Access Telecare, PLLC | Family Medicine | Current | Accepting new patients |
| Ap US 14, PA | Neurology | Current | Accepting new patients |
| Riverside Health System | Current | Accepting new patients | |
| Parkview Health System Inc | Family Medicine | Current | Accepting new patients |
| Access Telecare California, P.C. | Family Medicine | Past | Accepting new patients |
| Loyola University Physician Foundation | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family Medicine | Past | Accepting new patients |
| St. Vincent Hospital | Family Medicine | Past | Accepting new patients |
Locations
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
500 N Wall St
Ste 200
Kankakee, IL 60901
Phone (815) 937-1237
611 S Division St
Peotone, IL 60468
Phone (708) 258-9058
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
6 Timberwood Dr
Lebanon, NH 03766
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
Interoperability endpoints
- jchawla1141742@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AL, AZ, DC, Family Medicine, IA, IL, IN, LA, MD, ME, MN, MT, NH, OK, PA, SC, SD, VT, WI
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- General Practice Physician
- Maywood, IL
- NPI 1235148891
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conexus Laboratories Inc.
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
dba Regional Hospital Surgery Center
- Ambulatory Surgical Clinic/Center
- Scranton, PA
- NPI 1740566595
Hospital
-
dba Regional Hospital of Scranton
- General Acute Care Hospital
- Scranton, PA
- NPI 1881983039
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512086400000",
"number": "1952372948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 S FIRST AVE",
"address_2": "101 1740 LOYOLA UNIVERSITY MEDICAL CENTER",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-9000",
"fax_number": "708-216-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 S FIRST AVE",
"address_2": "101 1740 LOYOLA UNIVERSITY MEDICAL CENTER",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-9000",
"fax_number": "708-216-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "JASVINDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2017-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "IL",
"license": "36104108",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "36104108",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "36104108",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01079450A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36104108",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.