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JAMIE GRADISHAR
NPI 1700668829
Physician Assistant - Medical in Chicago, IL

Active since October 16, 2023PECOS Enrolled
1127 N OAKLEY BLVD FL 2, CHICAGO, IL 60622(312) 633-5841 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 8, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Jamie Gradishar NPPES

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

JAMIE GRADISHAR (NPI 1700668829) is an individual medical provider in Chicago, Illinois, licensed in Illinois (085.011104) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700668829
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJAMIE GRADISHAR
Location Address1127 N OAKLEY BLVD FL 2Chicago, IL 60622-3507
Mailing Address1127 N Oakley Blvd Fl 2Chicago, IL 60622-3507 · (312) 633-5841
Phone(312) 633-5841
Sole ProprietorNo
Enumeration DateOctober 16, 2023
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1700668829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085.011104
1127 N OAKLEY BLVD FL 2, Chicago, IL 60622
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Gradishar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DIEGO ALEJANDRO PIVIDAL FERNANDEZ MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DR. ANNA BORISOVA MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DANIEL OSTAPOWICZ
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DR. MATTHEW RICHARD FELTEN M.D.
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
JORDAN M ALVIA MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
ADAUGO P EBIRINGAH MD
Family Medicine
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040
DR. ADITYA VIJ MD
Student in an Organized Health Care Education/Training Program
1127 N OAKLEY BLVD FL 2
CHICAGO, IL 60622
Cook County (312) 770-2040

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 Jamie Gradishar's NPI number?

The NPI number for Jamie Gradishar is 1700668829. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Jamie Gradishar located?

Jamie Gradishar practices at 1127 N Oakley Blvd Fl 2, Chicago, IL 60622. The listed phone number is (312) 633-5841.

What is Jamie Gradishar's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jamie Gradishar enrolled in Medicare?

Yes. Jamie Gradishar is registered in the Medicare PECOS enrollment system.

What insurance does Jamie Gradishar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jamie Gradishar 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 Jamie Gradishar was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.