Active NPI
Jared Cerny, MD
- Family Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11022339A
- Practice address
- 415 W Columbia St
Evansville, IN 47710-1656 - Phone
- (812) 450-6066
- Fax
- (812) 450-3071
- NPI assigned
- Jun 14, 2022
- Last updated
- Jun 14, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11022339A | IN | Primary |
Addresses
Primary practice location
415 W Columbia St
Evansville, IN 47710-1656
Mailing address
415 W Columbia St
Evansville, IN 47710-1656
Phone (812) 450-3363
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 W Columbia St
Suite 100
Evansville, IN 47710-1656
Phone (812) 450-6200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.34 of 100
- Quality
- 88.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Clinic Inc. | Current | Accepting new patients |
Locations
415 W Columbia St
#100
Evansville, IN 47710
Phone (812) 450-6200
415 W Columbia St
#110
Evansville, IN 47710
Phone (812) 450-3363
415 W Columbia St
Ste 100
Evansville, IN 47710
Phone (812) 450-3363
415 W Columbia St
Ste 110
Evansville, IN 47710
Phone (812) 450-3363
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264
4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
Interoperability endpoints
- jcerny231877@direct.deaconess.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Family Medicine
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
dba Deaconess Clinic I
- Family Medicine Physician
- Evansville, IN
- NPI 1013274471
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Family Medicine
- Family Medicine Physician
- Evansville, IN
- NPI 1578727475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1699405597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W COLUMBIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101656",
"telephone_number": "812-450-3363",
"fax_number": "812-450-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W COLUMBIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101656",
"telephone_number": "812-450-6066",
"fax_number": "812-450-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNY",
"first_name": "JARED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-14",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11022339A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Center for Vein Restoration in, LLC
- Centerwell Health Services USA, LLC (CenterWell Home Health)
- Cep America - Intensivists PC
- Cep America - Neurology PC
- David C Cerling, PH.D.
- CFB Healthcare, Inc. (CORE Nursing & Rehabilitation)
- Chris E Chacko, MD
- Keyshla Marie Chacon Nieves
- Brian J Chaffin, DO
- Nichole Chamberlain, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.