Individual provider Active NPI

Jonathan Ahn, M.D.

  • Pediatrics Physician
  • Skokie, IL
National Provider Identifier
1982868840
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125054468 Issued in IL
Practice address
9669 Kenton Ave Ste 405
Skokie, IL 60076-1267
Phone
(847) 933-0600
Fax
(847) 933-0505
NPI assigned
Jul 10, 2008
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125054468 IL Primary

Addresses

Primary practice location

9669 Kenton Ave Ste 405
Skokie, IL 60076-1267

Mailing address

9669 Kenton Ave Ste 405
Skokie, IL 60076-1267
Phone (847) 933-0600

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jahn251594@direct.myadvocateaurora.org Direct
Direct Messaging Address jahn251594@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125054468ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seed Pediatrics S.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jahn251594@direct.myadvocateaurora.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1982868840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 405",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761267",
            "telephone_number": "847-933-0600",
            "fax_number": "847-933-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 405",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761267",
            "telephone_number": "847-933-0600",
            "fax_number": "847-933-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125054468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jahn251594@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9669 Kenton Ave Ste 405",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jahn251594@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2604 Dempster St Ste 510",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600688429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9669 Kenton Ave Ste 405",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.