Active NPI
Jarred R Mondonedo, MD, PHD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
National Provider Identifier
1801419130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01099178A
- 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
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 |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.