Prakash Sidha Jayabalan, M.D., PHD
NPI 1457648073ActiveIndividual· Physical Medicine & Rehabilitation, Sports Medicine· Chicago, IL
Physical Medicine & Rehabilitation, Sports Medicine (M.D., PHD) with Medical Services Ric, practicing in Chicago, Illinois. 157 Medicare patients in 2024, $25,110 paid; all of their 61 Part D prescriptions were generic. Lists Northwestern Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1457648073 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D., PHD |
| Sole proprietor | Yes |
| NPI issued | Jul 3, 2011 |
| Last updated in NPPES | Apr 26, 2022 |
| Certified by provider | Apr 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Sports Medicine Primary | 2081S0010X | 036-140895 | IL |
| Physical Medicine & Rehabilitation | 208100000X | 036140895 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Medicine and Rehabilitation (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 157 |
|---|---|
| Services billed | 339 across 9 procedure codes |
| Paid by Medicare | $25,110 |
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 77 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $701.56 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physical Medicine And Rehabilitation |
| Secondary specialties | Sports Medicine |
Medical group
- Medical Services RicHarvey, IL · 93 clinicians
Hospital affiliation
- Northwestern Memorial HospitalChicago, IL
Other facilities
- Shirley Ryan AbilitylabInpatient rehabilitation facility · Chicago, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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