NPIMap

Individual provider Active NPI

Jason Thomas Cadwallader, MD

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1942467469
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0074625 Issued in CO
Practice address
740 Peoria St
Aurora, CO 80011-8231
Phone
(720) 531-7111
Fax
(720) 640-3317
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11013833A IN
Internal Medicine Physician 207R00000X 01067114A IN
Internal Medicine Physician 207R00000X DR.0074625 CO Primary

Addresses

Primary practice location

740 Peoria St
Aurora, CO 80011-8231

Mailing address

30 W Monroe St
Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730

Other practice location 1

2240 E 53rd St Ste B1
Indianapolis, IN 46220-3479
Phone (317) 933-7047

Other identifiers 2

IdentifierTypeStateIssuer
200980050MedicaidIN
000000685913OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100812001005 IN Practitioner - HospitalistPractitioner - Internal Medicine 9335273366 Reassigns benefits to 1 organization
I20250422000037 CO Practitioner - Internal Medicine 9335273366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oak Street Health Physicians Group of Colorado PLLCGroup PAC ID 9032585054, 34 clinicians

Practice addresses (Care Compare)

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

740 Peoria St
Aurora, CO 80011-8231
Phone (720) 531-7111

Hospital & facility affiliations

  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • The Medical Center of Aurora & South Hospital Hospital, Aurora, CO, CCN 060100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013833AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Internal Medicine CurrentSince Mar 13, 2017 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine Current Accepting new patients
University Family Physicians, Inc. CurrentSince Mar 13, 2017 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine CurrentSince Mar 28, 2025 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Internal Medicine CurrentSince Mar 28, 2025 Accepting new patients
Greenway Trail Emergency Physicians LLC Past Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine Past Accepting new patients
St. Francis Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

740 Peoria St
Aurora, CO 80011
Phone (720) 531-7111

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

7216 Solutions Ctr
Chicago, IL 60677

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
#1501
Indianapolis, IN 46202
Phone (317) 948-1310

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

Interoperability endpoints

  • Direct secure messaging: jason.cadwallader@oakstreethealth.gwaydirect.com

Organizations & group practices 8

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1942467469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MONROE ST",
            "address_2": "STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606032420",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118231",
            "telephone_number": "720-531-7111",
            "fax_number": "720-640-3317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 E 53rd St Ste B1",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462203479",
            "country_code": "US",
            "telephone_number": "317-933-7047",
            "fax_number": "317-667-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11013833A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01067114A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0074625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200980050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000685913",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.