Individual provider Active NPI

Jeffrey Glenn Morgan, MD

  • Emergency Medicine Physician
  • Salem, IN
National Provider Identifier
1447256334
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01035453A Issued in IN
Practice address
104 Connie Ave
Salem, IN 47167-2305
Phone
(812) 883-2696
NPI assigned
Jun 24, 2005
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01035453A IN Primary
Internal Medicine Physician 207R00000X 01035453A IN
Gastroenterology Physician 207RG0100X 01035453A IN

Addresses

Primary practice location

104 Connie Ave
Salem, IN 47167-2305

Mailing address

104 Connie Ave
Salem, IN 47167-2305

Other identifiers 2

IdentifierTypeStateIssuer
100255390AMedicaidIN
000000062246OtherINANTHEM/BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.morgan.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20040805000059 IN Practitioner - Emergency MedicinePractitioner - GastroenterologyPractitioner - Internal Medicine 4486625175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

104 Connie Ave
Salem, IN 47167-2305
Phone (812) 883-2696

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

911 N Shelby St
Salem, IN 47167-2304
Phone (812) 883-5881

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux50
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Critical Access Health Services Corp. Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

7820 S Voyles Rd
Pekin, IN 47165
Phone (812) 668-6316

104 Connie Ave
Salem, IN 47167
Phone (812) 883-2696

104 Connie Ave
#108
Salem, IN 47167
Phone (812) 883-2696

505 W Homer St
Salem, IN 47167
Phone (812) 883-8525

505 W Homer St
Ste 101
Salem, IN 47167
Phone (812) 883-2696

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: jeffrey.morgan.1@7598.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1447256334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CONNIE AVE",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CONNIE AVE",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471672305",
            "telephone_number": "812-883-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01035453A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01035453A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01035453A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255390A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "000000062246",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.morgan.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "104 Connie Ave",
            "city": "Salem",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471672305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

Verify at the official NPI Registry.