Individual provider Active NPI

Jura M Adams-Bailey, M.D.

  • Psychiatry Physician
  • Arlington Heights, IL
National Provider Identifier
1972530574
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036064574 Issued in IL
Practice address
3405 N. Kennicott Avenue
Suite C
Arlington Heights, IL 60004
Phone
(847) 483-0303
Fax
(847) 483-0305
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036064574 IL Primary

Addresses

Primary practice location

3405 N. Kennicott Avenue
Suite C
Arlington Heights, IL 60004

Mailing address

410 W. Wisconsin Street
Unit F
Chicago, IL 60614
Phone (312) 440-8853

Other identifiers 2

IdentifierTypeStateIssuer
036064MedicaidIL
31603305OtherILBLUE SHIELD

Other names 1

  • Jura M Midian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036064574ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Solutions, Inc. Past Accepting new patients
Presence Behavioral Health Past Accepting new patients
Behavioral Health Care Associates LTD Psychiatry PastSince May 1, 1999 Accepting new patients
Premier Behavioral Health Services, P.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1972530574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W. WISCONSIN STREET",
            "address_2": "UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "312-440-8853",
            "fax_number": "312-440-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N. KENNICOTT AVENUE",
            "address_2": "SUITE C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-483-0303",
            "fax_number": "847-483-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS-BAILEY",
        "first_name": "JURA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036064574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "31603305",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JURA",
            "last_name": "MIDIAN",
            "middle_name": "M",
            "credential": "M.D.:",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.