Individual provider Active NPI

Saima Jalal, M.D.

  • Ophthalmology Physician
  • St Charles, IL
National Provider Identifier
1962599829
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-118968 Issued in IL
Practice address
40W330 Lafox Rd
Suite a
St Charles, IL 60175-6515
Phone
(630) 584-9850
Fax
(630) 584-1523
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-118968 IL Primary

Addresses

Primary practice location

40W330 Lafox Rd
Suite a
St Charles, IL 60175-6515

Mailing address

40W330 Lafox Rd
St Charles, IL 60175-6515
Phone (630) 584-9850

Other identifiers 2

IdentifierTypeStateIssuer
036118968MedicaidIL
04519570OtherILBCBS

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
I20071004000171 IL Practitioner - Ophthalmology 6507951670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley OphthalmologyGroup PAC ID 6103710652, 7 clinicians

Practice addresses (Care Compare)

750 Fletcher Dr
Suite 106
Elgin, IL 60123-4703
Phone (847) 695-0499

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
97.93
Improvement activities
40
Cost
70.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-118968ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ophthalmology Ophthalmology CurrentSince Oct 1, 2007 Accepting new patients
Fox Valley Ophthalmology Ophthalmology PastSince Oct 1, 2007 Accepting new patients

Locations

750 Fletcher Dr
Ste 106
Elgin, IL 60123
Phone (847) 695-0499

2250 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 854-5511

40W330 Lafox Rd
St Charles, IL 60175
Phone (630) 584-9850

40W330 Lafox Rd
Unit A
St Charles, IL 60175
Phone (630) 584-9850

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1962599829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756515",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX RD",
            "address_2": "SUITE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756515",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAL",
        "first_name": "SAIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-118968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118968",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04519570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.