Jon Lee Stockrahm, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02002047 Issued in IN

Practice address

2223 Wabash Ave
Terre Haute, IN 47807-3305

Phone

(812) 235-7252

Fax

(812) 235-7176

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

Yes

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.

• Internal Medicine of the Wabash Valley P.C.

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1356727218
  Medicare reassignment NPD Authorized official IN · INTERNAL MEDICINE
• Kepler Inpatient Services

  • Internal Medicine Physician
  • Terre Haute, IN
  • NPI 1598859472
  NPD (past) INTERNAL MEDICINE
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Amedisys Indiana, LLC

  • Home Health Agency
  • Terre Haute, IN
  • NPI 1003937269
  Care Compare affiliation Home health agency
• Putnam County Hospital

  • Nursing Facility/Intermediate Care Facility
  • St. Mary Woods, IN
  • NPI 1114986924
  Care Compare affiliation Nursing home
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  Care Compare affiliation Hospital
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303
  Care Compare affiliation Hospital
• Sullivan County Community Hospital

  • Critical Access Hospital
  • Sullivan, IN
  • NPI 1497759260
  Care Compare affiliation Hospital
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation Hospital
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation Hospital
• Visiting Nurse Assoc. of the Wabash Valley,Inc.

  • Community Based Hospice Care Agency
  • Terre Haute, IN
  • NPI 1215077144
  Care Compare affiliation Hospice
• Visiting Nurse Assoc. of the Wabash Valley,Inc.

  • Community Based Hospice Care Agency
  • Terre Haute, IN
  • NPI 1417930181
  Care Compare affiliation Home health agency

Specialty

Internal Medicine

Education

Ohio University, College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Bloomington, IN, CCN 157578
• Visiting Nurse Association of the Wabash Valley in Home health agency, Terre Haute, IN, CCN 157015
• Hospice of the Wabash Valley Inc Hospice, Terre Haute, IN, CCN 151510
• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
• Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327
• Providence Health Care Center Nursing home, St Mary of the Woods, IN, CCN 155802

Procedures performed for Medicare patients

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jon.stockrahm.1@21799.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2024.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1962409466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073305",
            "telephone_number": "812-235-7252",
            "fax_number": "812-235-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 WABASH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073305",
            "telephone_number": "812-235-7252",
            "fax_number": "812-235-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKRAHM",
        "first_name": "JON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02002047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000211750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5902718",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200227720A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110232365",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen L. a. Stienstra, MD
• Melissa Stigall
• Elizabeth R Stimac
• Lisa Linn Stimley, SPEECH THERAPIST
• Ruthgayle Stith, MD
• Allison Rose Stogsdill
• Jennifer Stoll
• Eddie M Stone, MD
• Taylor Stone, PA-C
• Michael Charles Stoner, M.D.

• All providers in Terre Haute, IN
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.