Individual provider Active NPI

Jordan Bradford Heskett, M.D.

  • Dermatology Physician
  • Columbus, IN
National Provider Identifier
1811300098
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01079789A Issued in IN
Practice address
360 Plaza Dr Ste C
Columbus, IN 47201-2960
Phone
(812) 376-9686
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11017700A IN
Dermatology Physician 207N00000X 01079789A IN Primary

Addresses

Primary practice location

360 Plaza Dr Ste C
Columbus, IN 47201-2960

Mailing address

360 Plaza Dr Ste C
Columbus, IN 47201-2960
Phone (812) 376-9686

Other practice location 1

550 University Blvd
Suite 3240
Indianapolis, IN 46202-5149
Phone (317) 278-6833

Other practice location 2

550 University Blvd
Suite 3240
Indianapolis, IN 46202-5149
Phone (317) 278-6833

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jheskett@directaddress.net Health Information Exchange (HIE)

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
I20180702000397 IN Practitioner - Dermatology 1557586922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians IncGroup PAC ID 9638120439, 3 clinicians

Practice addresses (Care Compare)

360 Plaza Dr
Suite C
Columbus, IN 47201-2960
Phone (812) 376-9686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions1565
Skin biopsy454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01079789AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians, Inc. Dermatology CurrentSince Aug 13, 2018 Accepting new patients
Major Hospital Past Accepting new patients

Locations

360 Plaza Dr
Ste C
Columbus, IN 47201
Phone (812) 376-9686

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 2

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1811300098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PLAZA DR STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-376-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PLAZA DR STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012960",
            "telephone_number": "812-376-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_2": "Suite 3240",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-278-6833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 University Blvd",
            "address_2": "Suite 3240",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-278-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESKETT",
        "first_name": "JORDAN",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017700A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01079789A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jheskett@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "XLM",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "360 Plaza Dr Ste C",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472012960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.