Dr Jay Boughanem, MD - Medicare Orthopedic Surgery in Chicago, IL

Dr Jay Boughanem, MD is a medicare enrolled "Orthopaedic Surgery" physician in Chicago, Illinois. He went to Northwestern University Feinberg Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Orthopedic Surgery. His current practice location is 676 N Saint Clair St Fl 13, Department Of Orthopaedic Surgery, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 926-4485.

Dr Jay Boughanem is licensed to practice in Illinois (license number 036120773) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518115948.

Contact Information

Dr Jay Boughanem, MD
676 N Saint Clair St Fl 13, Department Of Orthopaedic Surgery,
Chicago, IL 60611-3060
(312) 926-4485
Not Available

Map and Direction




Physician's Profile

Full NameDr Jay Boughanem
GenderMale
SpecialityOrthopedic Surgery
Experience19 Years
Location676 N Saint Clair St Fl 13, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jay Boughanem attended and graduated from Northwestern University Feinberg Medical School in 2005
  NPI Data:
  • NPI Number: 1518115948
  • Provider Enumeration Date: 08/27/2008
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042403974
  • Enrollment ID: I20110929000180

Medical Identifiers

Medical identifiers for Dr Jay Boughanem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518115948NPI-NPPES
1518115948MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 73259-20 (Wisconsin)Secondary
207X00000XOrthopaedic Surgery 036120773 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hilo Medical CenterHilo, HIHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jay Boughanem allows following entities to bill medicare on his behalf.
Entity NameHilo Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962584060
PECOS PAC ID: 1254422900
Enrollment ID: O20070809000268
Entity NameHawaii Shoulder And Orthopedic Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255977864
PECOS PAC ID: 4284061516
Enrollment ID: O20200227000518

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jay Boughanem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jay Boughanem, MD
2718 N Wilton Ave, Unit 2,
Chicago, IL 60614-2875

Ph: (312) 371-1861
Dr Jay Boughanem, MD
676 N Saint Clair St Fl 13, Department Of Orthopaedic Surgery,
Chicago, IL 60611-3060

Ph: (312) 926-4485

Reviews and Comments


Orthopaedic Surgery Doctors in Chicago, IL

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Dr. Michael R Treister, M.D.
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Medicare: Not Enrolled in Medicare
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Phone: 312-633-5866    Fax: 312-633-5867
Dr. Adam Isaac Edelstein, MD
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Phone: 312-695-8143    Fax: 312-695-4075
Dr. Ari J Kaz, MD
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Practice Location: 2923 N California Ave, Suite 300, Chicago, IL 60618
Phone: 773-777-9900    Fax: 773-777-5927

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.