Active NPI
Jason Troy Fitzgerald, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01076416A
- Practice address
- 12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264 - Phone
- (219) 662-0077
- Fax
- (219) 662-9496
- NPI assigned
- Nov 10, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01076416A | IN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 11738 | MT | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | DR.0056684 | CO | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01076416A | IN | Primary |
Addresses
Primary practice location
12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
2222 N Nevada Ave Ste 5011
Colorado Springs, CO 80907-6819
Phone (720) 321-8680
Other practice location 2
2222 N Nevada Ave Ste 5011
Colorado Springs, CO 80907-6819
Phone (720) 321-8680
Other practice location 3
1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201347360 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfitzgerald383968@Direct.FranciscanAlliance.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Washington School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300
Hospital & facility affiliations
- Franciscan Home Care
- Franciscan Health Crown Point
- Franciscan Health Dyer
- Franciscan Health Munster
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 13 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056684 | CO | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 01076416A | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 11738 | MT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Cardiac Surgery Associates SC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
12750 Saint Francis Dr
Ste 320
Crown Point, IN 46307
Phone (219) 662-0077
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- Home Health Agency
- Hobart, IN
- NPI 1144225491
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1851372346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12750 ST FRANCIS DR STE 320",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463070264",
"telephone_number": "219-662-0077",
"fax_number": "219-662-9496"
}
],
"practiceLocations": [
{
"address_1": "2222 N Nevada Ave Ste 5011",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076819",
"country_code": "US",
"telephone_number": "720-321-8680",
"fax_number": "720-321-8681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 N Nevada Ave Ste 5011",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076819",
"country_code": "US",
"telephone_number": "720-321-8680",
"fax_number": "720-321-8681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 S Main St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463078481",
"country_code": "US",
"telephone_number": "219-738-2100",
"fax_number": "219-681-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZGERALD",
"first_name": "JASON",
"middle_name": "TROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01076416A",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MT",
"license": "11738",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CO",
"license": "DR.0056684",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01076416A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201347360",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfitzgerald383968@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1201 S Main St",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463078481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.