Active NPI
Jeffrey S Staron, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 01066936A
- Practice address
- 8141 Calumet Ave Unit 1
Munster, IN 46321-1701 - Phone
- (219) 961-9480
- Fax
- (630) 718-6057
- NPI assigned
- Feb 5, 2007
- Last updated
- Jan 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036139164 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 01066936A | IN | Primary |
Addresses
Primary practice location
8141 Calumet Ave Unit 1
Munster, IN 46321-1701
Mailing address
8141 Calumet Ave Unit 1
Munster, IN 46321-1701
Phone (219) 961-9480
Other practice location 1
951 Essington Rd Ste 1
Joliet, IL 60435-8441
Phone (815) 744-4551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669472270 | Other | IN | NPI GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Southern Illinois University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10110 Donald S Powers Dr
Suite 101B
Munster, IN 46321-4070
Phone (219) 961-9480
1870 Silver Cross Blvd
New Lenox, IL 60451-8639
Phone (815) 462-3474
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Franciscan Health Dyer
- Franciscan Health Munster
- Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Hinsdale Orthopaedic Associates, SC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Hinsdale Orthopaedic Associates, S.C. | Past | Accepting new patients | |
| Great Lakes Orthopedics and Sports Medicine, P.C. | Past | Accepting new patients | |
| Great Lakes Orthopedics & Sports Medicine, PC | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116
951 Essington Rd
Ste 1
Joliet, IL 60435
Phone (815) 744-4551
1870 Silver Cross Blvd
Ste 200
New Lenox, IL 60451
Phone (630) 323-6116
1870 Silver Cross Blvd
Ste 240
New Lenox, IL 60451
Phone (630) 873-8889
10110 Donald S Powers Dr
Ste 101B
Munster, IN 46321
Phone (219) 961-8480
8141 Calumet Ave
Munster, IN 46321
Phone (219) 961-8480
8141 Calumet Ave
Unit 1
Munster, IN 46321
Phone (219) 961-9480
Interoperability endpoints
- https://api.platform.athenahealth.com/10531/brand/1/csg/1/fhir/r4
- jstaron82912@direct.franciscanalliance.org
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IN
-
- Orthopaedic Surgery Physician
- Hinsdale, IL
- NPI 1235217209
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Orthopaedic Surgery Physician
- Western Springs, IL
- NPI 1558789792
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Orthopaedic Surgery Physician
- Saint John, IN
- NPI 1669472270
-
- Physical Therapist
- Crown Point, IN
- NPI 1336363266
-
- Orthopaedic Surgery Physician
- Munster, IN
- NPI 1104330034
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1780723122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8141 CALUMET AVE UNIT 1",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-961-9480",
"fax_number": "630-718-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8141 CALUMET AVE UNIT 1",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-961-9480",
"fax_number": "630-718-6057"
}
],
"practiceLocations": [
{
"address_1": "951 Essington Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604358441",
"country_code": "US",
"telephone_number": "815-744-4551",
"fax_number": "630-718-6057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARON",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036139164",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "01066936A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP NUMBER",
"identifier": "1669472270",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
- St. Margaret Mercy Healthcare Centers Inc (Munster Orthopedic Clinic)
- St. Margaret Mercy Healthcare Centers Inc (Munster Surgical)
- St. Margaret Mercy Healthcare Centers, Inc (Munster Orthopedic Clinic)
- Stand Up Open MRI of Indiana LLC
- Natalie Stankovic
- Taylor Monet Steele
- Juliann Steinbeigle-Butt, PHD
- Alexander A Stemer, MD
- Sarah Stennis, DDS
- Paul Phillip Stepanczuk, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.