Theresa Beth Jagasia, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

2901 N Fairfield Ave Apt 3S
Chicago, IL 60618-7850

Phone

(312) 505-6725

Fax

(425) 977-1077

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest ENT Alliance PLLCGroup PAC ID 5294276259, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest ENT Alliance PLLC

  • Otolaryngology Physician
  • Orland Park, IL
  • NPI 1588449458
  Medicare reassignment Care Compare group NPD
• Advanced Hearing and Balance Center, LLC

  • Audiologist
  • Evanston, IL
  • NPI 1669607214
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952434243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N FAIRFIELD AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187850",
            "telephone_number": "312-505-6725",
            "fax_number": "425-977-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N FAIRFIELD AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187850",
            "telephone_number": "312-505-6725",
            "fax_number": "425-977-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGASIA",
        "first_name": "THERESA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salem Jafilan, M.D.
• Abeha Jafri, LPC
• Zain Ul Hassan Jafri, M.D.
• Nainee Jagad
• Akhil Venkatesh Jagadeesh, DMD
• Nitin Nandkumar Jagdhane, MD
• Jagdish & Shobha Shah MD SC
• Nicole Meghan Jagemann, OTR/L
• Jagen Home Health Services,Inc
• Elizabeth Jager, FNP-C

• Audiologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.