Individual provider Active NPI

Jeannie Boram Ur, MD

  • Hospitalist Physician
  • Dyer, IN
National Provider Identifier
1033616305
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01086395A Issued in IN
Practice address
24 Joliet St
Dyer, IN 46311-1705
Phone
(219) 852-1524
Fax
(219) 933-2288
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01086395A IN
Internal Medicine Physician 207R00000X 35.140293 OH
Internal Medicine Physician 207R00000X 57.246226 OH
Hospitalist Physician 208M00000X 35.140293 OH
Hospitalist Physician 208M00000X 01086395A IN Primary

Addresses

Primary practice location

24 Joliet St
Dyer, IN 46311-1705

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3196

Other practice location 2

8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-4298

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jur608238@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210715004105 OH Practitioner - Internal Medicine 5890040299 Reassigns benefits to 1 organization
I20210824002806 IN Practitioner - Hospitalist 5890040299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

Hospital & facility affiliations

  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01086395AINMDHospitalist Physician
35.140293OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Internal Medicine CurrentSince Aug 30, 2021 Accepting new patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Galen Inpatient Physicians, PC Internal Medicine Current Accepting new patients
Franciscan Physician Network CurrentSince Aug 30, 2021 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Dec 25, 2021 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 28, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 28, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

11100 Euclid Ave
Cleveland Heights, OH 44106

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1033616305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-852-1524",
            "fax_number": "219-933-2288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-480-3196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Market St",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126725",
            "country_code": "US",
            "telephone_number": "330-729-4298",
            "fax_number": "330-729-1897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UR",
        "first_name": "JEANNIE",
        "middle_name": "BORAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01086395A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.140293",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.246226",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.140293",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01086395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jur608238@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24 Joliet St",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.