Active NPI
Jessica Ruth Taulman-Young, DPM
- Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001159A
- Practice address
- 6021 W 71St St Ste a
Indianapolis, IN 46278-1705 - Phone
- (317) 920-3240
- Fax
- (317) 920-3243
- NPI assigned
- Jul 26, 2011
- Last updated
- Dec 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001159A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001159A | IN | |
| Foot Surgery Podiatrist | 213ES0131X | 07001159A | IN |
Addresses
Primary practice location
6021 W 71St St Ste a
Indianapolis, IN 46278-1705
Mailing address
PO Box 330
Fortville, IN 46040-0330
Phone (317) 863-2556
Other practice location 1
10122 E 10th St Ste 230
Indianapolis, IN 46229-2664
Phone (317) 355-7356
Other practice location 2
7330 E 82nd St
Suite A
Indianapolis, IN 46256-1465
Phone (317) 712-3708
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000838854 | Other | IN | ANTHEM |
| 201103700 | Medicaid | IN | |
| 223300001 | Other | IN | MEDICARE PTAN |
| 12568529 | Other | IN | CAQH |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10122 E 10TH St
Suite 240
Indianapolis, IN 46229-2887
Phone (317) 355-7337
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 339 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 376 |
| Removal or shaving of skin growth | 119 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001159A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1221 Medical Arts Blvd
Anderson, IN 46011
Phone 76529851173453
1622 N Madison Ave
Anderson, IN 46011
Phone (765) 641-0001
10122 E 10th St
Ste 230
Indianapolis, IN 46229
Phone (317) 355-7356
10122 E 10th St
Ste 240
Indianapolis, IN 46229
Phone (317) 355-7337
6021 W 71st St
Ste A
Indianapolis, IN 46278
Phone (317) 920-3240
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7330 E 82nd St
Ste A
Indianapolis, IN 46256
Phone (317) 712-3708
Interoperability endpoints
- jtaulman31189@ecommunitydirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1881972784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330",
"city": "FORTVILLE",
"state": "IN",
"postal_code": "460400330",
"telephone_number": "317-863-2556",
"fax_number": "317-203-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 W 71ST ST STE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781705",
"telephone_number": "317-920-3240",
"fax_number": "317-920-3243"
}
],
"practiceLocations": [
{
"address_1": "10122 E 10th St Ste 230",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462292664",
"country_code": "US",
"telephone_number": "317-355-7356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7330 E 82nd St",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462561465",
"country_code": "US",
"telephone_number": "317-712-3708",
"fax_number": "317-712-3798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAULMAN-YOUNG",
"first_name": "JESSICA",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001159A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001159A",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IN",
"license": "07001159A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000838854",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201103700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "223300001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12568529",
"state": "IN"
}
],
"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 Dec 23, 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.