Look up the most recent NPI and PECOS records

Vivek Jha

Internal Medicine

Allopathic & Osteopathic Physicians

1969 W Ogden Ave, Chicago, IL 60612

PECOS Enrollment

Based on the most recent information from CMS, provider Vivek Jha is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1952040024
Provider Type
Individual
Full Name
Jha, Vivek
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/27/2022
Last Updated
9/23/2022

Contact Information

Practice Location

1969 W Ogden Ave, Chicago, IL 60612

(312) 864-6000

Unlisted Fax

Mailing Location

1950 West Polk Street, 6th Floor, #6142, Chicago, IL 60612

(312) 864-7311

(312) 864-9725

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125079889 Illinois

Vivek Jha

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Quevedo Ramirez, Andres

Monterubianesi, Lorena Alejandra

Brahmbhatt, Manish D

Khaqan, Muhammad Ali

Njoku, Franklin Udoka

Rafiq, Muhammad

Cuartas Mesa, Maria Cristina

Akande, Yetunde Felicia

Leavitt, Jacqueline

Aguilera Astudillo, Maria Caridad