Individual provider Active NPI

Jared Blake Salisbury, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1629699772
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01095404A Issued in IN
Practice address
550 University Blvd RM 641
Indianapolis, IN 46202-5149
Phone
(317) 278-2686
Fax
(317) 278-2650
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34242 NH
Diagnostic Radiology Physician 2085R0202X 01095404A IN Primary
Diagnostic Radiology Physician 2085R0202X MD28950 ME

Addresses

Primary practice location

550 University Blvd RM 641
Indianapolis, IN 46202-5149

Mailing address

550 University Blvd RM 641
Indianapolis, IN 46202-5149
Phone (317) 278-2686

Other practice location 1

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3264

Other practice location 2

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Other practice location 3

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

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
I20250904000491 IN Practitioner - Diagnostic Radiology 0749603181 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3122

13 N 1150
Smithfield, UT 84335-6803
Phone (260) 432-1568

7221 Engle Rd
Suite 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568

9160 Stratton CT
Fishers, IN 46037-8913
Phone (269) 781-4271

Hospital & facility affiliations

  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150
  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
  • Bluffton Regional Medical Center Hospital, Bluffton, IN, CCN 150075
  • Kosciusko Community Hospital Hospital, Warsaw, IN, CCN 150133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01095404AINMDDiagnostic Radiology Physician
MD28950MEMDDiagnostic Radiology Physician
34242NHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Partners, P.a. CurrentSince Sep 21, 2025 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Henry County Memorial Hospital CurrentSince Aug 30, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Aug 30, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Spectrum Healthcare Partners, PA Diagnostic Radiology Current Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Sep 14, 2025 Accepting new patients

Locations

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

489 State St
Bangor, ME 04401
Phone (207) 973-8837

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1629699772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD RM 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-278-2686",
            "fax_number": "317-278-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD RM 641",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-278-2686",
            "fax_number": "317-278-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3264",
            "fax_number": "765-983-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "JARED",
        "middle_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "34242",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01095404A",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD28950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.