Individual provider Active NPI

Jared W Colon, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1912490475
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MT215129 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-2000
NPI assigned
Jun 10, 2018
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X R79943 AZ
Orthopaedic Surgery Physician 207X00000X MT215129 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

282 Osborn St Apt 2
Philadelphia, PA 19128-3723
Phone (719) 660-9232

Other practice location 1

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (148) 030-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcolon2005403@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240919001456 VA Practitioner - Orthopedic Surgery 9739434556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

501 Discovery Dr
Chesapeake, VA 23320-3832
Phone 75754751453502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.83 of 100Reported as group
Quality
47.9
Promoting interoperability
99
Improvement activities
40
Cost
79.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)30
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R79943AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sport Medicine and Orthopaedic Center Inc Orthopaedic Surgery CurrentSince Sep 2, 2024 Accepting new patients
Sports Medicine and Orthopaedic Center CurrentSince Sep 2, 2024 Accepting new patients

Locations

501 Discovery Dr
Chesapeake, VA 23320
Phone (757) 842-7010

150 Burnetts Way
Ste 100
Suffolk, VA 23434
Phone (757) 539-2037

5801 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone 75754751453502

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24174/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jared.colon.1@24174.direct.athenahealth.com
  • Direct secure messaging: jcolon2005403@ehrdirect.mayoclinicmsg.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1912490475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 OSBORN ST APT 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283723",
            "telephone_number": "719-660-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5777 E Mayo Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850544502",
            "country_code": "US",
            "telephone_number": "148-030-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "JARED",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "R79943",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT215129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcolon2005403@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "5777 E Mayo Blvd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850544502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.