Active NPI
Jason Todd Stemple, MD
- Pediatrics Physician
- Indianapolis, IN
National Provider Identifier
1861028870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01094551A
- Practice address
- 705 Riley Hospital Dr, Phase 2, Room 4900
Indianapolis, IN 46202 - Phone
- (317) 944-7065
- Fax
- (317) 944-3442
- NPI assigned
- Mar 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01094551A | IN | Primary |
| Pediatrics Physician | 208000000X | 32790 | WV |
Addresses
Primary practice location
705 Riley Hospital Dr, Phase 2, Room 4900
Indianapolis, IN 46202
Mailing address
705 Riley Hospital Dr, Phase 2, Room 4900
Indianapolis, IN 46202
Phone (317) 944-7065
Other practice location 1
6040 University Town Centre Dr
Morgantown, WV 26501-2421
Phone (304) 598-4835
Other practice location 2
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (855) 988-2273
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240810000031 | IN | Order and Referring Only - Pediatric Medicine | 8123489226 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1861028870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR, PHASE 2, ROOM 4900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-944-7065",
"fax_number": "317-944-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 RILEY HOSPITAL DR, PHASE 2, ROOM 4900",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-944-7065",
"fax_number": "317-944-3442"
}
],
"practiceLocations": [
{
"address_1": "6040 University Town Centre Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265012421",
"country_code": "US",
"telephone_number": "304-598-4835",
"fax_number": "304-285-7388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265061200",
"country_code": "US",
"telephone_number": "855-988-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEMPLE",
"first_name": "JASON",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-21",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01094551A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "32790",
"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 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.