Jeffrey A Breall, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Indianapolis, IN
NPI 1831153717 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1831153717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 01052687A (IN)
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 962-0561
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana University Health Inc
Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Ave
Heart Station A1089
Indianapolis, IN 46202-1239
Phone (317) 924-8447
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
1800 N Capitol Ave
Advance Heart Care Iu MH
Indianapolis, IN 46202-1239
Phone (317) 924-5444
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 342-8441
Hospital & facility affiliations
- Indiana University Health
- Indiana University Health North Hospital
- Hancock Regional Hospital
- Indiana University Health Arnett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.91 of 100
- Quality
- 64.8
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080820000692 | IN | Practitioner - Interventional Cardiology |
0840365193 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052687 | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Diagnostic Associates, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| Indiana University Health, Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2242 Reliable Pkwy
Chicago, IL 60686
7301 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
5550 S East St
Indianapolis, IN 46227
Phone (317) 534-4660
5550 S East St
Ste 1
Indianapolis, IN 46227
Phone (317) 780-4080
2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364
Interoperability endpoints
- jbreall@direct.iuhealth.org
- jbreall37793@direct.eskenazihealth.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01052687 | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01052687A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01052687A | IN | |
| Interventional Cardiology Physician | 207RI0011X | 01052687A | IN | Yes |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60060231 | Other | IN | RAILROAD MEDICARE |
| 060066286 | Other | IN | RAILROAD MEDICARE |
| 200287770 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbreall@direct.iuhealth.org |
Other providers in Indianapolis, IN
- Dana Cook Bray
- Natasha Bray
- Becca Jordan Brazelton
- T'Maryae Brazelton
- Breaking Every Chain Counseling LLC
- Patrick E Brearton
- Khadijah K Breathett
- Breathing Space, Inc
- Patricia Breaziel
- Jennifer Brechbuhl
All providers in Indianapolis, IN · Interventional Cardiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.