ALAN JACKSON (MD) – Cardiovascular Disease Physician, NPI 1144398520
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for ALAN JACKSON (MD)
2734 W 87TH ST
CHICAGO, IL 606523937
Phone: (773) 918-4700
Fax: (773) 313-3763
Type: Mailing
PO BOX 187
TINLEY PARK, IL 604770187
Phone: (708) 479-6522
Fax: (708) 479-6597
Type: Mailing
West North Avenue, West Town, Lincoln Park, Chicago, Cook County, Illinois, 60642, United States
SUITE 750
CHICAGO, IL 606427138
Phone: (312) 980-0536
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040223000610 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60652)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Internal Medicine | IL | |
| Family Practice | MI | |
| Family Practice | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Family Practice | OH | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL |
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