Active NPI
Jenna Jwayyed, MD
- Anesthesiology Physician
- Indianapolis, IN
National Provider Identifier
1679215636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35.155556
- Practice address
- 1130 W Michigan St
Indianapolis, IN 46202-5209 - Phone
- (317) 274-0275
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.155556 | OH | Primary |
Addresses
Primary practice location
1130 W Michigan St
Indianapolis, IN 46202-5209
Mailing address
1130 W Michigan St
Indianapolis, IN 46202-5209
Other practice location 1
2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 363-7444
Other practice location 2
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 285-7851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.155556 | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1679215636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 W MICHIGAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W MICHIGAN ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025209",
"telephone_number": "317-274-0275"
}
],
"practiceLocations": [
{
"address_1": "2600 Sixth St SW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447101702",
"country_code": "US",
"telephone_number": "330-363-7444",
"fax_number": "330-363-7770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Akron General Ave",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443072432",
"country_code": "US",
"telephone_number": "330-285-7851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JWAYYED",
"first_name": "JENNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.155556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.