ASJ MD SC
NPI 1740776350
Family Medicine in Chicago, IL

Active since July 06, 2018CLIA 14D2223308 · Waiver
6508 S HALSTED ST, CHICAGO, IL 60621(773) 651-1224 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2025, Oct 4, 2023, Jul 6, 2018 (3 updates tracked since 2018).

About Asj Md Sc NPPES

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

ASJ MD SC (NPI 1740776350) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Anuj Jain, Owner, as its authorized official.

NPPES Registry Identity

NPI1740776350
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASJ MD SC
Location Address6508 S HALSTED STChicago, IL 60621-2616
Mailing Address6508 S Halsted StChicago, IL 60621-2616 · (773) 651-1224
Organization SubpartNo
Authorized OfficialAnuj JainOwner · (773) 651-1224
Enumeration DateJuly 6, 2018
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1740776350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036131733
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.
6508 S HALSTED ST, Chicago, IL 60621

Other Identifiers 1

Medicaid036131733IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asj Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Asj MD Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1831617364
6508 S HALSTED ST
Chicago, IL 60621
(773) 651-1224
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871893859
6508 S HALSTED ST
Chicago, IL 60621
(773) 651-1225
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689407595
4201 W 95TH ST
Oak Lawn, IL 60453
(708) 636-8546
✔ PECOS5.7 mi
Nurse Practitioner
NPI 1538775846
2222 W DIVISION ST STE 260
Chicago, IL 60622
(708) 252-5809
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1417450867
PO BOX 507
Evanston, IL 60204
(678) 839-9268
✔ PECOS✔ Accepts Medicare19 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2223308

Asj MD Sc · Chicago, IL
Active · expires May 4, 2027
CLIA Number14D2223308
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorAnuj Jain M D
Laboratory Phone(773) 651-1224
Laboratory LocationAsj MD Sc6508 S Halsted, Chicago, IL 60621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Asj MD Sc's NPI number?

The NPI number for Asj MD Sc is 1740776350. It was assigned to this organization in the NPPES registry on July 6, 2018.

Where is Asj MD Sc located?

Asj MD Sc is located at 6508 S Halsted St, Chicago, IL 60621. The listed phone number is (773) 651-1224.

What is Asj MD Sc's specialty?

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

Is Asj MD Sc enrolled in Medicare?

Yes. Asj MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Asj MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Asj MD Sc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Asj MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2223308) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Asj MD Sc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Asj MD Sc 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 Asj MD Sc was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.