Individual provider Active NPI

Jared Michael Snyder, D.O.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1780984633
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02003937A Issued in IN
Practice address
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone
(317) 355-6700
Fax
(317) 355-6720
NPI assigned
Oct 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02003937A IN Primary

Addresses

Primary practice location

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Mailing address

6626 E 75TH St
Ste 500
Indianapolis, IN 46250-2805

Other practice location 1

408 E Southway Blvd
Kokomo, IN 46902-3814
Phone (765) 776-3300

Other practice location 2

1515 N Madison Ave
Anderson, IN 46011-3453
Phone (765) 298-2121

Other identifiers 2

IdentifierTypeStateIssuer
201136940MedicaidIN
P01424269OtherINRAIL ROAD PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsnyder31186@eCommunityDirect.com CHN JMH Ventures LLC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000652 IN Practitioner - Family Practice 2264686344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1500 N Ritter Ave
Indianapolis, IN 46219-3027

1515 N Madison Ave
Anderson, IN 46011-3453

3500 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8571

3504 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-8600

3506 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6700

3508 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 776-5704

3510 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 864-8765

3512 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 865-6633

3548 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 773-8403

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

8040 Clearvista Pkwy
Indianapolis, IN 46256-5604

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue787
Removal of skin lesions31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003937AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 4, 2014 Accepting new patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Nov 4, 2014 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488

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

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

408 E Southway Blvd
Kokomo, IN 46902
Phone (765) 865-3300

Interoperability endpoints

  • Direct secure messaging: jsnyder31186@ecommunitydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1780984633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N RITTER AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193027",
            "telephone_number": "317-355-6700",
            "fax_number": "317-355-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E Southway Blvd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023814",
            "country_code": "US",
            "telephone_number": "765-776-3300",
            "fax_number": "765-453-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113453",
            "country_code": "US",
            "telephone_number": "765-298-2121",
            "fax_number": "765-298-5877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003937A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201136940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN",
            "identifier": "P01424269",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsnyder31186@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "CHN JMH Ventures LLC",
            "address_1": "1515 N Madison Ave",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460113453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.