Organization Active NPI

Paul a Jones MD LLC

  • Interventional Cardiology Physician
  • Munster, IN
National Provider Identifier
1780434282
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
PAUL A JONES MD LLC
Practice address
9339 Calumet Ave Ste a
Munster, IN 46321-2879
Phone
(219) 203-1156
Fax
(219) 203-1185
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Janet Graham
Title
Administrator
Phone
(219) 203-1194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

9339 Calumet Ave Ste a
Munster, IN 46321-2879

Mailing address

1921 Ridge Rd Unit 1352
Homewood, IL 60430-4662
Phone (219) 203-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724000815 IN Part B Supplier - Clinic/Group Practice 0244776417 Receives reassigned benefits from 1 practitioner
Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

1921 Ridge Rd
Unit 1352
Homewood, IL 60430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1780434282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RIDGE RD UNIT 1352",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304662",
            "telephone_number": "219-203-1156",
            "fax_number": "219-203-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 CALUMET AVE STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212879",
            "telephone_number": "219-203-1156",
            "fax_number": "219-203-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A JONES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-203-1194"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.