Jasen E Chandler, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P-292 Issued in ID

Practice address

2190 Village Park Ave Ste 100
Twin Falls, ID 83301-5939

Phone

(208) 733-0436

NPI assigned

Apr 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Arizona Podiatric Med Program at Midwestern Un, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Foot and Ankle Specialists PCGroup PAC ID 5395755755, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Canyon Foot & Ankle Specialists PC

  • Podiatric Clinic/Center
  • Twin Falls, ID
  • NPI 1811180615

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Paramount Surgical Services LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1366292310
  Medicare reassignment NPD
• Sipi Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1518272087
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1659954378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 VILLAGE PARK AVE STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015939",
            "telephone_number": "208-733-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 VILLAGE PARK AVE STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015939",
            "telephone_number": "208-733-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JASEN",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P-292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cystral C Cavillo
• Cedar Pharmacy LLC
• Center for Physical Rehabilitation, LLC
• Center for Plastic Surgery, LLC
• David Chambers, LPC
• Scott Chapin
• Mark Chappel, LPC
• Chardonnay Property LLC
• Charles L Cutler, M.D., P.a.
• Charolais Care VIII, Inc

• Podiatrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.