JACKSON PARK HOSPITAL FOUNDATION – General Acute Care Hospital, NPI 1497750699

JACKSON PARK HOSPITAL FOUNDATION is a healthcare provider. based in Chicago, Illinois. specializing in General Acute Care Hospital. The organization holds a License No. 0001115 (IL). The NPI Number for JACKSON PARK HOSPITAL FOUNDATION is 1497750699

Main info

Organization
Name
JACKSON PARK HOSPITAL FOUNDATION
NPI
1497750699
Phone
(773) 947-7500
Address
7531 S STONY ISLAND AVE
Authorized Official
MR. MERRITT J. HASBROUCK PRESIDENT
Enumeration Date
15 June 2005
Last Update Date
28 January 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JACKSON PARK HOSPITAL FOUNDATION

  • Jackson Park Hospital, 7531, South Stony Island Avenue, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States

    CHICAGO, IL 606493954

    Phone: (773) 947-7500

    Fax: (773) 947-7339

    Mailing address matches the actual address.

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: 2011-03-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20110311000387OHospitalILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60649)

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Reviews

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Frequently asked questions

How do payers reference JACKSON PARK HOSPITAL FOUNDATION?
For JACKSON PARK HOSPITAL FOUNDATION, use NPI 1497750699 as the unique 10-digit identifier.
Would JACKSON PARK HOSPITAL FOUNDATION appear as active to a payer?
You can treat JACKSON PARK HOSPITAL FOUNDATION as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JACKSON PARK HOSPITAL FOUNDATION?
JACKSON PARK HOSPITAL FOUNDATION is associated with General Acute Care Hospital in the directory — Clinical services aligned with this taxonomy classification.
Is JACKSON PARK HOSPITAL FOUNDATION associated with Chicago?
Public fields place JACKSON PARK HOSPITAL FOUNDATION around Chicago, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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