NPIMap

Individual provider Active NPI

Jason M Frazier, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Munster, IN
National Provider Identifier
1528223450
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
01081283A Issued in IN
Practice address
801 Macarthur Blvd Ste 305
Munster, IN 46321-2920
Phone
(219) 703-2401
NPI assigned
Jul 21, 2008
Last updated
Nov 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125053757 IL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01081283A IN Primary

Addresses

Primary practice location

801 Macarthur Blvd Ste 305
Munster, IN 46321-2920

Mailing address

801 Macarthur Blvd Ste 305
Munster, IN 46321-2920
Phone (219) 703-2401

Other practice location 1

1841 S Calumet Ave Apt 1908
Chicago, IL 60616-4843
Phone (708) 216-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181205000618 IN Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 9436371143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Howard University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6000

801 Macarthur Blvd
Suite 305
Munster, IN 46321-2920
Phone (219) 703-2401

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125053757ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Feb 4, 2026 Accepting new patients
Community Care Network Inc Surgery CurrentSince Nov 1, 2018 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Feb 4, 2026 Accepting new patients

Locations

1400 S Lake Park Ave
Ste 300
Hobart, IN 46342
Phone (219) 942-1169

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

611 E Douglas Rd
Ste 208
Mishawaka, IN 46545
Phone (574) 232-5928

801 MacArthur Blvd
Ste 305
Munster, IN 46321
Phone (219) 703-2401

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Interoperability endpoints

  • Direct secure messaging: jfrazier91721@ssdirect.comhs.org

Organizations & group practices 3

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 8

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1528223450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212920",
            "telephone_number": "219-703-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212920",
            "telephone_number": "219-703-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 S Calumet Ave Apt 1908",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606164843",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125053757",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01081283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.