Active NPI
Jeffrey Glenn Morgan, MD
- Emergency Medicine Physician
- Salem, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01035453A
- Practice address
- 104 Connie Ave
Salem, IN 47167-2305 - Phone
- (812) 883-2696
- NPI assigned
- Jun 24, 2005
- Last updated
- Jul 26, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255390A | Medicaid | IN | |
| 000000062246 | Other | IN | ANTHEM/BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 50 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| St. Vincent Medical Group, Inc. | Internal Medicine | Current | 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
- 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.
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
Emergency Medicine
-
- Emergency Medicine Physician
- Terre Haute, IN
- NPI 1285103671
-
- Gastroenterology Physician
- Salem, IN
- NPI 1831357516
-
dba Washington County Health Deaprtment
- Public Health or Welfare Agency
- Salem, IN
- NPI 1215228101
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1548912553
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
dba Washington County Memorial Hospital
- Critical Access Hospital
- Salem, IN
- NPI 1821223439
Emergency Medicine
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1558686436
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Salem, IN
- NPI 1245560705
Nursing home
-
- Critical Access Hospital
- Salem, IN
- NPI 1427388982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.