Active NPI
Jason C Mann, D.O.
- Pulmonary Disease Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 03604
- Practice address
- 4950 Norton Healthcare Blvd Ste 208
Louisville, KY 40241 - Phone
- (502) 614-4179
- Fax
- (502) 614-4450
- NPI assigned
- Sep 17, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 02004815A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 03604 | KY | |
| Anesthesiology Physician | 207L00000X | 036120713 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 02004815A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 03604 | KY | Primary |
Addresses
Primary practice location
4950 Norton Healthcare Blvd Ste 208
Louisville, KY 40241
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other practice location 1
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
Other practice location 2
100 W Market St
Suite 2
Louisville, KY 40202-1332
Phone (502) 587-8000
Other practice location 3
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
Other practice location 4
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
Other practice location 5
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100236990 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmann38972@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Pulmonary Disease
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 W Hebron LN
Suite 206
Shepherdsville, KY 40165-7467
Phone (502) 957-2084
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036120713 | IL | MD | Anesthesiology Physician |
| 03604 | KY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Unified Therapeutics LLC | Past | Accepting new patients | |
| 63Rd Advanced Health Clinic Inc | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
4950 Norton Healthcare Blvd
Ste 208
Louisville, KY 40241
Phone (502) 559-5864
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1905 W Hebron Ln
Ste 206
Shepherdsville, KY 40165
Phone (502) 361-2524
Interoperability endpoints
- jasonmann@kpa.allscriptsdirect.net
- jasonmann@arh.medalliesdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1093072035
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Adolescent Medicine (Family Medicine) Physician
- Chicago, IL
- NPI 1548492234
-
- Family Medicine Physician
- Chicago, IL
- NPI 1154590305
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1013784859
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1033752704
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1093341497
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1104469873
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1114591039
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1124654512
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1124661897
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1144856543
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1376310110
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1477189876
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1477196145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1528217320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 NORTON HEALTHCARE BLVD STE 208",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40241",
"telephone_number": "502-614-4179",
"fax_number": "502-614-4450"
}
],
"practiceLocations": [
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46845",
"country_code": "US",
"telephone_number": "260-266-2020",
"fax_number": "260-266-2009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W Market St",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021332",
"country_code": "US",
"telephone_number": "502-587-8000",
"fax_number": "502-583-8001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46845",
"country_code": "US",
"telephone_number": "260-266-2020",
"fax_number": "260-266-2009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46845",
"country_code": "US",
"telephone_number": "260-266-2020",
"fax_number": "260-266-2009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11109 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46845",
"country_code": "US",
"telephone_number": "260-266-2020",
"fax_number": "260-266-2009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "JASON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "02004815A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "03604",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036120713",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "02004815A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "03604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100236990",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmann38972@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "4950 Norton Healthcare Blvd Ste 208",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "40241",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11109 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "46845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.