Individual provider Active NPI

Jason K Sprunger, M.D.

  • Urology Physician
  • Indianapolis, IN
National Provider Identifier
1306850904
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01057641A Issued in IN
Practice address
1270 N Post Rd Ste a
Indianapolis, IN 46219-4254
Phone
(317) 895-6095
Fax
(317) 895-6195
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD-46344 IA
Urology Physician 208800000X 01057641A IN Primary

Addresses

Primary practice location

1270 N Post Rd Ste a
Indianapolis, IN 46219-4254

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1262

Other practice location 1

611 E Douglas Rd Ste 309
Mishawaka, IN 46545-1467
Phone (574) 948-5390

Other identifiers 5

IdentifierTypeStateIssuer
100194370OtherINMEDICAID GROUP NUMBER
000001354490OtherINANTHEM
200439070MedicaidIN
000000292436OtherINANTHEM PIN NUMBER
P00017585OtherINMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologyin@directaddress.net Urology of Indiana L.L.C.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000982 IN Practitioner - Urology 9830087253 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Specialty Care LLCGroup PAC ID 9931697265, 260 clinicians

Practice addresses (Care Compare)

1270 N Post Rd
A
Indianapolis, IN 46219-4209
Phone (317) 895-6095

7979 N Shadeland Ave
Indianapolis, IN 46250-2042
Phone (317) 621-3780

8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169
  • Community Hospital East Hospital, Indianapolis, IN, CCN 150074
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-46344IAMDUrology Physician
01057641AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Medical Group LLC CurrentSince Nov 14, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2022 Accepting new patients
Urology of Indiana L.L.C. Urology CurrentSince Jul 1, 2003 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Jul 1, 2003 Accepting new patients
Lutheran Medical Group LLC CurrentSince Nov 14, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Urology CurrentSince Mar 31, 2020 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Mar 31, 2020 Accepting new patients
Community Physician Network Specialty Care LLC CurrentSince Dec 23, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

5918 Reliable Pkwy
Chicago, IL 60686

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

14300 E 138th
Ste A
Fishers, IN 46037
Phone (317) 813-1660

14300 E 138th
Fishers, IN 46037
Phone (317) 813-1660

7910 W Jefferson Blvd
Ste 112
Fort Wayne, IN 46804
Phone (260) 969-7121

6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514

2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

7979 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-3780

8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000

7979 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-3300

7979 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-4300

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

18051 River Rd
Ste 202
Noblesville, IN 46062
Phone (317) 773-6106

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: jsprunger7584@direct.franciscanalliance.org
  • Direct secure messaging: urologyin@directaddress.net

Organizations & group practices 10

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 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1306850904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 N POST RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194254",
            "telephone_number": "317-895-6095",
            "fax_number": "317-895-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 E Douglas Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451467",
            "country_code": "US",
            "telephone_number": "574-948-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRUNGER",
        "first_name": "JASON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-46344",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01057641A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "100194370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001354490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439070",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000292436",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00017585",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Urology of Indiana L.L.C.",
            "address_1": "1270 N Post Rd Ste A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462194254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.