NPIMap

Individual provider Active NPI

Jonathan E Alley, D.O.

  • Family Medicine Physician
  • Angola, IN
National Provider Identifier
1083672919
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50003955A Issued in IN
Practice address
424 Williams St
Angola, IN 46703-1556
Phone
(260) 665-5170
Fax
(260) 665-6979
NPI assigned
May 2, 2006
Last updated
Apr 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000017 IN Practitioner - Family PracticePractitioner - Anesthesiology 1355342247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Anesthesiology
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20014061INMDAnesthesiology Physician
50003955AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Alley, D.O., P.C. Anesthesiology CurrentSince Nov 22, 2009 Accepting new patients

Locations

424 Williams St
Angola, IN 46703
Phone (260) 665-2926

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jalley7196@direct.parkviewexchange.com
  • Direct secure messaging: jalleydo@ja-in.direct.office.nextgen.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.