Andrew Jeffrey, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02006808A Issued in IN

Practice address

416 E Maumee St
Angola, IN 46703-2001

Phone

(260) 665-2141

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

88.02 of 100Reported as group

Quality

74.88

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.38 of 100Reported as group

Quality

87.23

Promoting interoperability

100

Improvement activities

40

Cost

83.74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajeffrey509889@direct.parkviewexchange.com

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.

• Community Hospital of Lagrange County Inc

  • Critical Access Hospital
  • Lagrange, IN
  • NPI 1679674956
  Medicare reassignment NPD
• Professional Emergency Physicians PC

  • Emergency Medicine Physician
  • Fort Wayne, IN
  • NPI 1144215096

  OH

  Medicare reassignment NPD
• Community Hospitals and Wellness Centers

  • General Practice Physician
  • Bryan, OH
  • NPI 1225167893
  Medicare reassignment NPD
• Community Hospitals and Wellness Centers

  • Critical Access Hospital
  • Montpelier, OH
  • NPI 1275575227
  Medicare reassignment NPD
• Interventional Pain Consultants, LLC

  • Interventional Pain Medicine Physician
  • Fort Wayne, IN
  • NPI 1164661054
  NPD
• Community Hospitals and Wellness Centers

  • Medicare Defined Swing Bed Hospital Unit
  • Montpelier, OH
  • NPI 1386687218
  NPD
• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1477526382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 UNION CHAPEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459357",
            "telephone_number": "260-498-2022",
            "fax_number": "260-498-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032001",
            "telephone_number": "260-665-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.008571",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02006808A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2628599",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Huntington I, MD
• Taarif Hussain, M.D. FAAFP
• Bradley S Igney, D.D.S.
• Indiana Physical Therapy, Inc.
• Interactive Community Initiatives LLC.
• Briston Jewell
• Jonathan Alley, D.O., P.C.
• KC Learning Center, Inc
• Justin Kent
• Mary Evelyn Kersten, RPH

• Emergency Medicine Physician in Angola, IN
• Providers in Angola, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.