Individual provider Active NPI

Jared Matthew Maker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Seven Fields, PA
National Provider Identifier
1265731863
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006216 Issued in PA
Practice address
400 Northpointe Cir Ste 102
Seven Fields, PA 16046-7867
Phone
(724) 687-8790
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003725 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 016005848 IL
Foot & Ankle Surgery Podiatrist 213ES0103X SC006216 PA Primary

Addresses

Primary practice location

400 Northpointe Cir Ste 102
Seven Fields, PA 16046-7867

Mailing address

400 Northpointe Cir Ste 102
Seven Fields, PA 16046-7867
Phone (724) 687-8790

Other identifiers 2

IdentifierTypeStateIssuer
102981304-0004MedicaidPA
HH882YOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000729 PA Practitioner - Podiatry 9830339258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CJ Medical Associates CorporationGroup PAC ID 0143350272, 5 clinicians

Practice addresses (Care Compare)

1900 Waterdam Plaza Dr BLDG 3
McMurray, PA 15317-5442
Phone (724) 969-4002

363 Vanadium Rd
Suite 104
Pittsburgh, PA 15243-1477
Phone (412) 563-1440

400 Northpointe Cir
Suite 102
Seven Fields, PA 16046-7867
Phone (724) 991-1262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue22
Removal of skin lesions1-10
Removal of nail tissue530
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003725OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Suburban Foot and Ankle Center PLLC Foot & Ankle Surgery CurrentSince Aug 17, 2023 Accepting new patients
CJ Medical Associates Corporation Foot & Ankle Surgery CurrentSince Jan 1, 2025 Accepting new patients
Onsight Health Care, LLC Past Accepting new patients
De la Torre Orthotics & Prosthetics PastSince Sep 1, 2023 Accepting new patients

Locations

1900 Waterdam Plaza Dr
McMurray, PA 15317
Phone (724) 260-7531

363 Vanadium Rd
Ste 104
Pittsburgh, PA 15243
Phone (412) 279-6697

400 Northpointe Cir
Ste 102
Seven Fields, PA 16046
Phone (724) 779-7000

Organizations & group practices 4

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 1

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1265731863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORTHPOINTE CIR STE 102",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467867",
            "telephone_number": "724-687-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTHPOINTE CIR STE 102",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467867",
            "telephone_number": "724-687-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKER",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003725",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005848",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102981304-0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HH882Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

Verify at the official NPI Registry.