Jared Anderson, MD
Individual provider Active NPI Anesthesiology Physician · Anderson, IN
NPI 1982809901 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1982809901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 02003194 (IN)
- Practice address
- 1515 N Madison Ave
Anderson, IN 46011-3453 - Phone
- (765) 932-2928
- Fax
- (317) 355-8734
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Physicians of Indiana Inc
Practice addresses (Care Compare)
1515 N Madison Ave
Maternal Fetal Medicine
Anderson, IN 46011-3453
Phone (317) 621-9210
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
- Community Hospital East
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070924000275 | IN | Practitioner - Anesthesiology | 8527152339 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02003194 | IN | MD | Anesthesiology Physician |
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 |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1515 N Madison Ave
Anderson, IN 46011
Phone (317) 870-0488
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
Interoperability endpoints
- janderson42498@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 02003194 | IN | Yes |
Addresses
Primary practice location
1515 N Madison Ave
Anderson, IN 46011-3453
Mailing address
6626 E 75TH Street
Ste 500
Indianapolis, IN 46250-2890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01424278 | Other | IN | RAIL ROAD |
| 200873060 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | janderson42498@eCommunityDirect.com | Community Physicians of Indiana Inc |
Other providers in Anderson, IN
- Anderson Post Acute, LLC
- Anderson Psychiatric Clinic LLC
- Anderson Urologic Associates, P.C.
- Anderson Westend Dental LLC
- Celia Anderson
- Kevin R Anderson
- Robert W Anderson
- Samantha Elizabeth Anderson
- Susan M Anderson
- Valarie A Anderson
All providers in Anderson, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.