Dr Ajay Rama Chapa, MD | |
676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 | |
(312) 695-5103 | |
(312) 695-5645 |
Full Name | Dr Ajay Rama Chapa |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 18 Years |
Location | 676 N Saint Clair St Ste 800, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689896441 | NPI | - | NPPES |
ENROLLED | Medicaid | IL | |
1689896441 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 2013025004 (Missouri) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036127186 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Memorial Hospital | Chicago, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Ajay Rama Chapa, MD 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 Ph: (312) 695-5103 | Dr Ajay Rama Chapa, MD 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 Ph: (312) 695-5103 |
Dr. Benjamin Jordan Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-774-8000 | |
Lauren Elizabeth Arsenault, MD Radiology Medicare: Medicare Enrolled Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244 | |
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124 | |
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269 | |
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230 | |
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781 | |
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821 |