Active NPI
Jeremy Patrick Spaulding, D.P.M.
- Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001115A
- Practice address
- 8128 E Washington St
Indianapolis, IN 46219-6814 - Phone
- (317) 898-7117
- Fax
- (317) 897-2681
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001115A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001115A | IN |
Addresses
Primary practice location
8128 E Washington St
Indianapolis, IN 46219-6814
Mailing address
3731 Guion Road
Suite C
Indianapolis, IN 46222-7604
Phone (317) 931-0664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201012250 | Medicaid | IN |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1406 W Bella Dr
Marion, IN 46953-5229
Phone (765) 660-7720
Hospital & facility affiliations
- Marion General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.82 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 235 |
| Removal of skin lesions | 53 |
| Removal of nail tissue | 41 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001115A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital | Current | Accepting new patients | |
| Marion General Hospital | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000
4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840
330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1406 W Bella Dr
Marion, IN 46953
Phone (765) 660-7470
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Marion, IN
- NPI 1528099041
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1093988263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3731 GUION ROAD",
"address_2": "SUITE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462227604",
"telephone_number": "317-931-0664",
"fax_number": "317-927-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8128 E WASHINGTON ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462196814",
"telephone_number": "317-898-7117",
"fax_number": "317-897-2681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "JEREMY",
"middle_name": "PATRICK",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001115A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001115A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201012250",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.