Individual provider Active NPI

Jarred R Mondonedo, MD, PHD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Indianapolis, IN
National Provider Identifier
1801419130
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
01099178A Issued in IN
Practice address
8051 S Emerson Ave Ste 365
Indianapolis, IN 46237-0011
Phone
(317) 851-2331
NPI assigned
May 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01099178A IN Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036.180154 IL

Addresses

Primary practice location

8051 S Emerson Ave Ste 365
Indianapolis, IN 46237-0011

Mailing address

2650 Warrenville Rd Ste 280
Downers Grove, IL 60515-2075

Other practice location 1

10 Martin Ave Ste 100
Naperville, IL 60540-6564
Phone (630) 416-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260617004235 IN Practitioner - Thoracic Surgery 1456772656
I20260622002073 IL Practitioner - Thoracic Surgery 1456772656

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Boston University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515-2075

4810 Spicewood Springs Rd
BLDG B
Austin, TX 78759-7838

4810 Spicewood Springs Rd BLDG B
Austin, TX 78759-7845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Interoperability endpoints

  • Direct secure messaging: jmondonedo1512997@direct.trinity-health.org

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1801419130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD STE 280",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462370011",
            "telephone_number": "317-851-2331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Martin Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406564",
            "country_code": "US",
            "telephone_number": "630-416-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDONEDO",
        "first_name": "JARRED",
        "middle_name": "R",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01099178A",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036.180154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.