Garrett L Jensen, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01088288A Issued in IN

Practice address

550 University Blvd
Indianapolis, IN 46202-5149

Phone

(317) 948-1962

Fax

(317) 695-1839

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN, KS2 enrollments

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 2

Specialty

Radiation Oncology

Education

Baylor College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Via Christi Hospitals Wichita IncGroup PAC ID 5799696944, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• William Newton Hospital Hospital, Winfield, KS, CCN 171383
• Wesley Medical Center Hospital, Wichita, KS, CCN 170123

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gjensen@direct.iuhealth.org
• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

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.

• Ascension Via Christi Hospitals Wichita Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1871589333

  Radiation Oncology

  Medicare reassignment Care Compare group NPD
• University Radiation Oncology Associates, Inc.

  • Radiation Oncology Physician
  • Indianapolis, IN
  • NPI 1770534687
  Medicare reassignment
• Ascension Via Christi Hospitals Wichita Inc.

  • Land Ambulance
  • Wichita, KS
  • NPI 1548097165
  NPD
• Via Christi Hospitals Wichita, Inc.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1467448696
  NPD (past)

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669908125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 UNIVERSITY BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025149",
            "telephone_number": "317-948-1962",
            "fax_number": "317-695-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Ih 35 N",
            "address_2": "CEC 2.433",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011926",
            "country_code": "US",
            "telephone_number": "512-324-9999 x87149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "GARRETT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "664384",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01088288A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gjensen@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 University Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce M Jennings, LCSW
• Marisa Pyatt Jennings, MSSW
• Shelby Rae Jennings
• Carly Jane Jensen, NP
• Chico Jensen
• Katelyn Jensen, MS, RD, LD
• Katherine Anne Jensen, ATC
• Valeska Jensen
• Carren Jepchumba
• Carolyne Jepchirchir Jepkorir, M.D.

• Radiation Oncology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.