DR. JAISON J THEKKEKARA (M.D.) – Anesthesiology Physician, NPI 1588015416
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,631 ANESTHESIOLOGY in IL
Provider Addresses for DR. JAISON J THEKKEKARA (M.D.)
329 REMINGTON BLVD STE 205
BOLINGBROOK, IL 604405817
Phone: (630) 226-1130
Fax: (630) 226-1134
Type: Location
1155 W ROOSEVELT RD UNIT 408
CHICAGO, IL 606081673
Phone: (972) 839-6292
Type: Mailing
329 Remington Blvd Ste 205
Bolingbrook, IL 604405817
Phone: (630) 226-1130
Fax: (630) 226-1134
Type: Location
Riverside Medical Center, 350, North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States
KANKAKEE, IL 609012901
Phone: (972) 839-6292
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $3,214.
Total Amount is formed as General ($3,214) + Research ($0) + Ownership ($0) = $3,214.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Zavation Medical Products, LLC ($1,124).
Total Amount
$3,214
General + Research + Ownership
Payments
53
Total payment records
General Amount
$3,214
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zavation Medical Products, LLC | $1,124 |
| Nevro Corp. | $909 |
| Boston Scientific Corporation | $383 |
| Saluda Medical Americas, Inc. | $190 |
| BIOTRONIK NRO, Inc. | $185 |
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: 2026-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200619002270 | I | Anesthesiology | IL | TBD |
| I20260224001619 | I | Anesthesiology | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 60440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Anesthesiology, Interventional Pain Management | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL |
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