Individual provider Active NPI

Jason B Jayroe, MD

  • Interventional Cardiology Physician
  • Greenfield, IN
National Provider Identifier
1477757045
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01067794A Issued in IN
Practice address
300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818
Phone
(317) 462-5112
Fax
(317) 462-5122
NPI assigned
Jun 14, 2007
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01067794A IN
Interventional Cardiology Physician 207RI0011X 01067794A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818

Mailing address

300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818

Other identifiers 2

IdentifierTypeStateIssuer
3864809681OtherMYUTMB 3864809681-COMMERCIAL NUMBER
200974920MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jason.jayroe.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
I20100611000076 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 6103907944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

300 E Boyd Ave
Greenfield, IN 46140-2818

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jun 10, 2010 Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients

Locations

300 E Boyd Ave
Ste 201
Greenfield, IN 46140
Phone (317) 462-5112

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

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

Organizations & group practices 6

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 4

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1477757045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 201",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 201",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402818",
            "telephone_number": "317-462-5112",
            "fax_number": "317-462-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYROE",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01067794A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01067794A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3864809681-COMMERCIAL NUMBER",
            "identifier": "3864809681",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200974920",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.jayroe.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "300 E Boyd Ave Ste 201",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461402818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.