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JAMES A JOSEPH D.O.
NPI 1083660229
Family Medicine in North Chicago, IL

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
1809 SHERIDAN RD, NORTH CHICAGO, IL 60064(847) 785-0611(847) 785-0612 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2020, Mar 14, 2017, Sep 30, 2015 (3 updates tracked since 2015).

About James A Joseph D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES A JOSEPH D.O. (NPI 1083660229) is an individual family medicine provider in North Chicago, Illinois, licensed in Illinois (036102939) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1083660229
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES A JOSEPHCredential: D.O.
Location Address1809 SHERIDAN RDNorth Chicago, IL 60064-2235
Mailing Address1809 Sheridan RdNorth Chicago, IL 60064-2235 · (847) 785-0611 · Fax (847) 785-0612
Phone(847) 785-0611
Fax(847) 785-0612
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1998
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 24, 20203 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1083660229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036102939✔ Licensed in MI · 5101018552
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1809 SHERIDAN RD, North Chicago, IL 60064
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Other Identifiers 1

Medicaid036102939IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Care Network of Michigan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James A Joseph D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800089988
PECOS Enrollment IDI20101021000428
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show James Joseph reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intervention Arms Medical Center LLC
Same address
Family Medicine
1809 SHERIDAN RD
North Chicago, IL 60064
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1518145176 (847) 785-0611
Spine And Joint Center Of Illinois PLLC
16 mi
Sports Medicine
3115 N WILKE RD STE C
Arlington Heights, IL 60004
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1871201319 (224) 329-5602
Naveed H Elahi Dc Sc
23 mi
Family Medicine
1037 E WOODFIELD RD
Schaumburg, IL 60173
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
NPI 1528255049 (847) 519-7046
Illinois Back And Joint PLLC
53 mi
Sports Medicine
11540 183RD PL UNIT A
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1750985214 (630) 677-3742
Vitality Healthcare PC
114 mi
Family Medicine
5717 OAKLAND DR, STE A
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1770954703 (269) 323-4473
Mid Michigan Medical Corporation PC
221 mi
Family Medicine
863 N PINE RD, SUITE E
Essexville, MI 48732
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1972965473 (989) 895-8514
Stay Home Wound Care PC
224 mi
Family Medicine
26200 TOWN CENTER DR STE 165
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1174356422 (248) 228-0541
Staywell Spine And Joint Specialists LLC
224 mi
Chiropractor
26200 TOWN CENTER DR STE 165
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1386032357 (248) 513-3100
Right Health PC
225 mi
General Practice
25500 MEADOWBROOK RD STE 208
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 30 clinicians in this Medicare group
NPI 1619586898 (248) 200-9240
Summit Regenerative Health
231 mi
Chiropractor
2801 ELIZABETH LAKE RD STE 100
Waterford, MI 48328
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1518734797 (248) 683-6260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
53%189 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
47%340 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%220 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR THOMAS J. SINGEL II,SC
Family Medicine
1809 SHERIDAN RD
NORTH CHICAGO, IL 60064
Lake County (847) 858-2544
LISA LOWETH PA
Physician Assistant
1809 SHERIDAN RD
NORTH CHICAGO, IL 60064
Lake County (847) 785-0611
MR. WILFREDO GARDUQUE DACUYCUY M.D.
Family Medicine
1809 SHERIDAN RD
NORTH CHICAGO, IL 60064
Lake County (847) 785-0611
INTERVENTION ARMS MEDICAL CENTER LLC
Family Medicine
1809 SHERIDAN RD
NORTH CHICAGO, IL 60064
Lake County (847) 785-0611
MS. LISA ANN CHARLES FIELDS PHD, PA-C
Physician Assistant
1809 SHERIDAN RD
NORTH CHICAGO, IL 60064
Lake County (847) 785-0611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Joseph's NPI number?

The NPI number for James Joseph is 1083660229. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is James Joseph located?

James Joseph practices at 1809 Sheridan Rd, North Chicago, IL 60064. The listed phone number is (847) 785-0611.

What is James Joseph's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Joseph enrolled in Medicare?

Yes. James Joseph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Joseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Joseph reassigns Medicare benefits to 10 organizations: Intervention Arms Medical Center LLC (North Chicago, IL), Spine And Joint Center Of Illinois PLLC (Arlington Heights, IL), Naveed H Elahi Dc Sc (Schaumburg, IL), Illinois Back And Joint PLLC (Orland Park, IL), Vitality Healthcare PC (Portage, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Joseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Joseph accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Care Network of Michigan and Priority Health list James Joseph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Joseph was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.