Individual provider Active NPI

Jared Andrew Collins, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Bradenton, FL
National Provider Identifier
1891087979
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
OS16103 Issued in FL
Practice address
316 Manatee Ave W
Bradenton, FL 34205
Phone
(941) 748-2277
Fax
(941) 748-1958
NPI assigned
May 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Cardiac Electrophysiology Physician 207RC0001X OS16103 FL Primary

Addresses

Primary practice location

316 Manatee Ave W
Bradenton, FL 34205

Mailing address

367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (941) 748-2277

Other practice location 1

1 Medical Center Dr
Stratford, NJ 08084-1500
Phone (856) 566-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190625001890 FL Practitioner - Cardiac Electrophysiology 7618109828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Cardiology Associates LLCGroup PAC ID 9133377500, 17 clinicians
Manatee Memorial Hospital L PGroup PAC ID 2062309164, 37 clinicians

Practice addresses (Care Compare)

316 Manatee Ave W
Bradenton, FL 34205-8805
Phone (941) 748-2277

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16103FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Cardiology Associates, LLC Clinical Cardiac Electrophysiology CurrentSince Aug 1, 2019 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 25, 2020 Accepting new patients
Manatee Memorial Hospital L P CurrentSince Jan 25, 2020 Accepting new patients
Manatee Memorial Hospital L P Current Accepting new patients

Locations

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

316 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-2277

8340 Lakewood Ranch Blvd
Ste 210
Lakewood Ranch, FL 34202
Phone (941) 556-8930

367 S Gulph Rd
Kng of Prussa, PA 19406
Phone (610) 382-4422

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1685

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1891087979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATTN: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-748-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-748-2277",
            "fax_number": "941-748-1958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841500",
            "country_code": "US",
            "telephone_number": "856-566-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JARED",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "OS16103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.