Active NPI
Jonathan E Alley, D.O.
- Family Medicine Physician
- Angola, IN
National Provider Identifier
1083672919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50003955A
- Practice address
- 424 Williams St
Angola, IN 46703-1556 - Phone
- (260) 665-5170
- Fax
- (260) 665-6979
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50003955A | IN | Primary |
| Anesthesiology Physician | 207L00000X | 20014061 | IN |
Addresses
Primary practice location
424 Williams St
Angola, IN 46703-1556
Mailing address
424 Williams St
Angola, IN 46703-1556
Phone (260) 665-5170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000263260 | Other | IN | BS |
| 0004416561 | Other | IN | AETNA |
| 5463 | Other | IN | PHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000017 | IN | Practitioner - Family Practice | 1355342247 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
424 Williams St
Angola, IN 46703-1556
Phone (260) 665-5170
Hospital & facility affiliations
- Heartland Home Health (Fort Wayne)
- Parkview Hospice
- Heart to Heart Hospice of Northeast Indiana, LLC
- Heartland Hospice (Ft Wayne)
- Cameron Health
- Parkview Noble Hospital
- Parkview Dekalb Hospital
- Parkview Regional Medical Center
- Northern Lakes Nursing and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20014061 | IN | MD | Anesthesiology Physician |
| 50003955A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan Alley, D.O., P.C. | Anesthesiology | Current | Accepting new patients |
Locations
424 Williams St
Angola, IN 46703
Phone (260) 665-2926
Interoperability endpoints
- jalleydo@ja-in.direct.office.nextgen.com
- jalley7196@direct.parkviewexchange.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
Hospital
-
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
Hospital
-
- Home Health Agency
- Fort Wayne, IN
- NPI 1588364806
-
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1881243509
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1083672919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 WILLIAMS ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467031556",
"telephone_number": "260-665-5170",
"fax_number": "260-665-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 WILLIAMS ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467031556",
"telephone_number": "260-665-5170",
"fax_number": "260-665-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEY",
"first_name": "JONATHAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "50003955A",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "20014061",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "000000263260",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004416561",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "5463",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angola, IN
- Rachel Susanne Adams, PTA
- Virginia M Adams, LMHC
- Jacqueline Leigh Akey, MD
- Andrew Aldred, PHARMD
- Rachel Allen, PHARMD
- Allied Physicians Inc., D/B/a Ear, Nose & Throat Specialists
- Allied Physicians Inc., D/B/a Fort Wayne Neurosurgery
- Brandi Lanice Alwine, PA
- American Oncology Partners, P.a.
- April M Anderson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.