Active NPI
Jordan Geroski, DO
- Sports Medicine (Family Medicine) Physician
- Angola, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 02006037A
- Practice address
- 1381 N Wayne St
Angola, IN 46703-2348 - Phone
- (260) 665-8222
- NPI assigned
- Jun 18, 2017
- Last updated
- Feb 3, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02006037A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 02006037A | IN | Primary |
Addresses
Primary practice location
1381 N Wayne St
Angola, IN 46703-2348
Mailing address
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11019303A | Other | IN | STATE LICENSE |
| 300004615 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jordan.geroski@directsjrmc.mhin.net | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cameron Memorial Community Hospital Inc
Practice addresses (Care Compare)
1381 N Wayne St
Angola, IN 46703-2348
Phone (260) 665-8222
611 E Douglas Rd
Suite 406 Family Medicine Faculty Physicia
Mishawaka, IN 46545-1468
Phone (574) 335-6580
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02006037A | IN | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Cameron Memorial Community Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Family Medicine | Past | Accepting new patients |
Locations
1381 N Wayne St
Angola, IN 46703
Phone (219) 481-4700
306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
3421 Cassopolis St
Elkhart, IN 46514
Phone (574) 335-8180
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500
611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214
611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232
611 E Douglas Rd
Ste 406
Mishawaka, IN 46545
Phone (574) 335-6500
611 E Douglas Rd
Ste 407
Mishawaka, IN 46545
Phone (574) 335-6500
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
1919 Lake Ave
Ste 102B
Plymouth, IN 46563
Phone (574) 335-6214
510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987
707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5ac0007d-0893-4627-b11f-857c06d27ab1/
- https://fhir-myrecord.cerner.com/r4/781d290a-0fb7-4574-b825-dd38fe495caa/
- jgeroski1158672@direct.trinity-health.org
Organizations & group practices 9
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.
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
dba Cameron Anesthesiology
- Family Medicine Physician
- Angola, IN
- NPI 1770521478
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
-
- Hospitalist Physician
- Plymouth, IN
- NPI 1821402876
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
dba Family Medicine Faculty Physicians
- Family Medicine Physician
- Mishawaka, IN
- NPI 1144580150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1265962633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E MAUMEE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032015",
"telephone_number": "260-667-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 N WAYNE ST",
"city": "ANGOLA",
"state": "IN",
"postal_code": "467032348",
"telephone_number": "260-665-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEROSKI",
"first_name": "JORDAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02006037A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "02006037A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "11019303A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300004615",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jordan.geroski@directsjrmc.mhin.net",
"affiliation": "N",
"endpointDescription": "SJRMC MHIN Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "611 E Douglas Rd Ste 137",
"city": "Mishawaka",
"state": "IN",
"country_code": "US",
"postal_code": "465451464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Angola, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.