DR. POONAM JHA M.D.
NPI 1750451472
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

NPI Status: Active since November 09, 2006

Contact Information

225 E CHICAGO AVE
BOX 10
CHICAGO, IL
ZIP 60611
Phone: (312) 227-6650
Fax: (312) 227-9722

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • PECOS Enrolled

About POONAM JHA

This page provides the complete NPI Profile along with additional information for Poonam Jha, a provider established in Chicago, Illinois with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1750451472 assigned on November 2006. The practitioner's primary taxonomy code is 2084P0804X with license number 036112197 (IL). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1750451472
Provider Name
DR. POONAM JHA M.D.
Gender
Female
Entity Type
Individual
Location Address
225 E CHICAGO AVE BOX 10 CHICAGO, IL 60611
Location Phone
(312) 227-6650
Location Fax
(312) 227-9722
Mailing Address
225 E CHICAGO AVE BOX 10 CHICAGO, IL 60611
Mailing Phone
(312) 227-6650
Mailing Fax
(312) 227-9722
Is Sole Proprietor?
No
Enumeration Date
11-09-2006
Last Update Date
01-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
036112197
License State
IL
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
  • Connect Bronze 2000 Indiv Med Deductible - HMO
  • Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - Rx Copay - HMO
  • Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036112197MEDICAID (05)IL 

Medicare Participation & PECOS Enrollment Status

Poonam Jha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750451472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100852414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 5 + 2 + 4 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750451472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DANA BRAZDZIUNAS MD

Pediatrics

(Developmental - Behavioral Pediatrics)

225 E CHICAGO AVE
BOX 16
CHICAGO, IL
ZIP 60611

(312) 227-6720

DR. HELEN J BINNS MD MPH

Pediatrics

225 E CHICAGO AVE
BOX 157
CHICAGO, IL
ZIP 60611

(312) 227-6690

DR. KELLY NICOLE MICHELSON MD MPH

Pediatrics

(Pediatric Critical Care Medicine)

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-6000

WILLIAM J REDA M.D.

Pediatrics

225 E CHICAGO AVE
BOX 152
CHICAGO, IL
ZIP 60611

(773) 880-6903

DR. JAMI L JOSEFSON M.D.

Pediatrics

(Pediatric Endocrinology)

225 E CHICAGO AVE
BOX 54
CHICAGO, IL
ZIP 60611

(312) 227-6090

DR. LINDSAY MARIE SKIBLEY M.D.

General Acute Care Hospital

(Children)

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(773) 880-4000

MARTA PEREZ M.D.

Pediatrics

(Pediatric Critical Care Medicine)

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 503-2385

ANN AND ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO

Chronic Disease Hospital

(Children)

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-4000

MR. PIERRE MASSON CPO

Orthotist

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-6210

DR. NASER A ZAHRAN M.D.

Pediatrics

225 E CHICAGO AVE
OUTREACH PHYSICIAN SERVICES
CHICAGO, IL
ZIP 60611

(773) 880-6903

DR. SARAH HLETKO DONAHUE MD

Pediatrics

(Neonatal-Perinatal Medicine)

225 E CHICAGO AVE
BOX 152
CHICAGO, IL
ZIP 60611

(773) 880-6903

DR. BRANDON LEE PARKER M.D.

Pediatrics

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-4000

SUSAN J SHUMAKER CPNP

Nurse Practitioner

(Pediatrics)

225 E CHICAGO AVE
BOX 63
CHICAGO, IL
ZIP 60611

(312) 227-4750

DR. JOEL EDWARD FRADER MD

Pediatrics

225 E CHICAGO AVE
GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16
CHICAGO, IL
ZIP 60611

(312) 227-6111

ANNE REDMOND SZMERGALSKI OTR/L

Occupational Therapist

(Pediatrics)

225 E CHICAGO AVE
BOX 142
CHICAGO, IL
ZIP 60611

(312) 227-6240

ALANNA HIGGINS JOYCE MD, MPH

Pediatrics

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-4000

MARY KATHRYN PRAHL M.D.

Pediatrics

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-4000

ANN & ROBERT H. LURIE CHILDREN'S HOSPTIAL OF CHICAGO

General Acute Care Hospital

(Children)

225 E CHICAGO AVE
BOX 44
CHICAGO, IL
ZIP 60611

(312) 227-7118

ANN & ROBERT H. LURIE CHILDRENS HOSPITAL OF CHICAGO

General Acute Care Hospital

(Children)

225 E CHICAGO AVE
BOX 44
CHICAGO, IL
ZIP 60611

(312) 227-7118

MARIE ELIZABETH WEISSBOURD PH.D.

Psychologist

(Clinical)

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611

(312) 227-5298

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750451472, enumerated as an "individual" on November 09, 2006.

The provider is located at 225 E CHICAGO AVE BOX 10 CHICAGO, IL 60611 and the phone number is (312) 227-6650.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.