Active NPI
Radcliffe Jones, M.D.
- Pediatrics Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01040656
- Practice address
- 2320 Walton Lake Dr
Kokomo, IN 46902-7407 - Phone
- (765) 437-0211
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01040656 | IN | Primary |
Addresses
Primary practice location
2320 Walton Lake Dr
Kokomo, IN 46902-7407
Mailing address
2320 Walton Lake Dr
Kokomo, IN 46902-7407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100337110 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjones126179@eCommunityDirect.com | Community Physicians of Indiana Inc |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040656 | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Pediatrics | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Eskenazi Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Gilead House, Inc. | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
3506 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-6700
3510 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-5760
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
Interoperability endpoints
- rjones126179@ecommunitydirect.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Pediatrics
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Adult Mental Health Clinic/Center
- Kokomo, IN
- NPI 1194218024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1679568240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 WALTON LAKE DR",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469027407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 WALTON LAKE DR",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469027407",
"telephone_number": "765-437-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RADCLIFFE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01040656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100337110",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjones126179@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "3506 S Lafountain St",
"city": "Kokomo",
"state": "IN",
"country_code": "US",
"postal_code": "469023803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.