JARED STEVEN VIDELL D.O.
NPI 1154397263
Internal Medicine - Cardiovascular Disease in Ventnor City, NJ
About Jared Steven Videll D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED STEVEN VIDELL D.O. (NPI 1154397263) is an individual cardiovascular disease provider in Ventnor City, New Jersey, licensed in Pennsylvania (OS-003830-L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jared Steven Videll D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jared Videll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jared Videll's NPI number?
The NPI number for Jared Videll is 1154397263. It was assigned to this individual provider in the NPPES registry on February 28, 2006.
Where is Jared Videll located?
Jared Videll practices at 115 S. Austin Avenue, Ventnor City, NJ 08406. The listed phone number is (609) 823-1989.
What is Jared Videll's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Jared Videll enrolled in Medicare?
Yes. Jared Videll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jared Videll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Videll reassigns Medicare benefits to Knd Development 59 LLC (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Videll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jared Videll was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jared Steven Videll, D.O. · NPI 1154397263
Cardiovascular Disease physician in Ventnor City, New Jersey. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1154397263 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** OS-003830-L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 S. AUSTIN AVENUE, Ventnor City, NJ 08406-3012
- **Phone:** (609) 823-1989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Knd Development 59 LLC (NPI 1851620496, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1976
## Record status
- **NPPES last updated:** June 17, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 089922 (PA); Medicare UPIN B35429 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154397263) · Data from the CMS NPPES public registry.