Individual provider Active NPI

Rosemarie M Jeffery, MD

  • Rheumatology Physician
  • Muncie, IN
National Provider Identifier
1881662732
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01040484A Issued in IN
Practice address
800 S Tillotson Ave
Muncie, IN 47304-4529
Phone
(765) 281-2000
Fax
(765) 281-2062
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 01040484A IN Primary

Addresses

Primary practice location

800 S Tillotson Ave
Muncie, IN 47304-4529

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988
Phone (877) 668-5621

Other identifiers 1

IdentifierTypeStateIssuer
100107430AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjeffery@direct.iuhealth.org

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
I20100614000483 IN Practitioner - RheumatologyPractitioner - Internal Medicine 6305750308 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Oct 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

800 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-5410

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

2401 W University Ave
Fl 8
Muncie, IN 47303
Phone (765) 282-5822

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1881662732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "877-668-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044529",
            "telephone_number": "765-281-2000",
            "fax_number": "765-281-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "ROSEMARIE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01040484A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107430A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjeffery@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "800 S Tillotson Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473044529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.