Jackie Ta, D.O
Anesthesiology Physician · Chicago, IL
Jackie Ta, D.O is an anesthesiology physician with a practice address in Chicago, Illinois, and NPI 1649652165, issued on Jun 20, 2015. Check the license (Illinois 125067630, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Jackie Ta
- Credential
- D.O
- Primary taxonomy
- Anesthesiology Physician 207L00000X
- License number
- 125067630 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1653 W Congress Pkwy, Chicago, IL 60612
- Phone
- (703) 342-9546
- Enumerated
- Jun 20, 2015
- Record last updated
- Jun 20, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200709000071); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest anesthesiology physician records → All 2,575 in Illinois → Look up another NPI →
Also registered at 1653 W Congress Pkwy
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Raid Abdulla, MDPediatric Cardiology Physician1710037742
- Pooja AgarwalPsychiatry Physician1407411689
- Heidi Aguilar, CRNACertified Registered Nurse Anesthetist1043703796
- Jenny AhnEmergency Registered Nurse1124836622
- Marwah Al Tekreeti, MDAnatomic Pathology & Clinical Pathology Physician1891539268
- Laila Abdulla Al-Harthy, RNRegistered Nurse1619832722
Verify Jackie Ta in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 125067630Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lifebridge Anesthesia Associates LLCBaltimore, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jackie Ta among 2,575 anesthesiology physician records in Illinois
Jackie Ta, D.O is one of 2,575 anesthesiology physician records with a practice address in Illinois. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 68% of them.
- NPI issued2015 · 68% of these records are older, 30% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2015 · median 2006 among the 1,608 with a school on file
- Record last updated2015 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,113 anesthesiology physician records list a practice address in Chicago
They are 1,113 of the 63,379 NPPES records with a practice address in Chicago, and 2,575 anesthesiology physician records in Illinois.
All 2,575 in Illinois → Every provider in Chicago → Anesthesiology Physician nationwide →
The 8 anesthesiology physician records with the nearest ZIP codes
- Shyamala BadrinathChicago, IL 606121588609820
- Cristina Barboi, MDChicago, IL 606121053394015
- Joel BialaChicago, IL 606121326084369
- Yulia Demidovich, MDChicago, IL 606121306897475
- Katrina Duque-Kappe, M.D.Chicago, IL 606121275532277
- Kere Frey, DOChicago, IL 606121144290560
- Ulana Leskiw, M.D.Chicago, IL 606121972555738
- Edmund Mangahas, M.D.Chicago, IL 606121871540443
Common questions
What is Jackie Ta, D.O's NPI number?
Jackie Ta, D.O's National Provider Identifier (NPI) is 1649652165, issued on Jun 20, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Jackie Ta, D.O located?
The NPPES record lists a practice address at 1653 W Congress Pkwy, Chicago, IL, 60612. Phone: (703) 342-9546. Providers update this record themselves, so call before visiting.
How can I verify Jackie Ta, D.O's license?
NPPES lists Illinois license number 125067630, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.