DR. PRAKASH SIDHA JAYABALAN M.D., PHD
NPI 1457648073
Physical Medicine & Rehabilitation - Sports Medicine in Chicago, IL

Active since July 03, 2011PECOS EnrolledAccepts Medicare Assignment
80.51/100
CMS Quality Rating
355 E ERIE ST, CHICAGO, IL 60611(312) 238-1000 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2022, Dec 4, 2017, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Prakash Sidha Jayabalan M.d., Phd NPPES

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

DR. PRAKASH SIDHA JAYABALAN M.D., PHD (NPI 1457648073) is an individual sports medicine provider in Chicago, Illinois, licensed in Illinois (036-140895) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457648073
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. PRAKASH SIDHA JAYABALANCredential: M.D., PHD
Location Address355 E ERIE STChicago, IL 60611-3167
Mailing Address355 E Erie StChicago, IL 60611-3167 · (312) 238-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 3, 2011
Last NPPES UpdateApril 26, 20224 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1457648073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in IL · 036-140895
Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036140895 (IL)
355 E ERIE ST, Chicago, IL 60611

Other Identifiers 1

Medicaid036140895-1IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Prakash Sidha Jayabalan M.d., Phd 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 ID4688969819
PECOS Enrollment IDI20160826000151
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
147 services78 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.
116 services54 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
41 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.47
Promoting Interoperability100
Improvement Activities40
Cost26.22

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
355 E ERIE ST
CHICAGO, IL 60611
Psychologist (Clinical)
355 E ERIE ST
CHICAGO, IL 60611
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611
Clinical Neuropsychologist
355 E ERIE ST
CHICAGO, IL 60611
Nurse Practitioner
355 E ERIE ST
CHICAGO, IL 60611
Occupational Therapist
355 E ERIE ST
CHICAGO, IL 60611
Physical Medicine & Rehabilitation (Sports Medicine)
355 E ERIE ST
CHICAGO, IL 60611

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 Prakash Jayabalan's NPI number?

The NPI number for Prakash Jayabalan is 1457648073. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Where is Prakash Jayabalan located?

Prakash Jayabalan practices at 355 E Erie St, Chicago, IL 60611. The listed phone number is (312) 238-1000.

What is Prakash Jayabalan's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Prakash Jayabalan enrolled in Medicare?

Yes. Prakash Jayabalan 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.

Is Prakash Jayabalan affiliated with any hospitals?

According to CMS data, Prakash Jayabalan is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prakash Jayabalan was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.