JONATHAN A MANDELBAUM MD
NPI 1437123437
Surgery in Indianapolis, IN

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
5255 E STOP 11 RD STE 450, INDIANAPOLIS, IN 46237(317) 865-4800(317) 865-4806 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2023, Mar 12, 2021, Oct 26, 2018 (3 updates tracked since 2018).

About Jonathan A Mandelbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN A MANDELBAUM MD (NPI 1437123437) is an individual surgery provider in Indianapolis, Indiana, licensed in Indiana (01033791A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Indianapolis, and is a graduate of Indiana University School Of Medicine (1984).

NPPES Registry Identity

NPI1437123437
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJONATHAN A MANDELBAUMCredential: MD
Location Address5255 E STOP 11 RD STE 450Indianapolis, IN 46237-6342
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(317) 865-4806
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1984
Enumeration DateFebruary 15, 2006
Last NPPES UpdateFebruary 27, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1437123437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 01033791A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5255 E STOP 11 RD STE 450, Indianapolis, IN 46237

Other Identifiers 2

Medicaid100129080AIN
Other100003568IN · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan A Mandelbaum Md 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.

PECOS PAC ID2163616285
PECOS Enrollment IDI20101214001325
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Student in an Organized Health Care Education/Training Program
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Student in an Organized Health Care Education/Training Program
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Nurse Practitioner (Acute Care)
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant (Surgical)
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Surgery
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237
Physician Assistant
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN 46237

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 Jonathan Mandelbaum's NPI number?

The NPI number for Jonathan Mandelbaum is 1437123437. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Jonathan Mandelbaum located?

Jonathan Mandelbaum practices at 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237. The listed phone number is (317) 865-4800.

What is Jonathan Mandelbaum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jonathan Mandelbaum enrolled in Medicare?

Yes. Jonathan Mandelbaum 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.

What insurance does Jonathan Mandelbaum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jonathan Mandelbaum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Mandelbaum affiliated with any hospitals?

According to CMS data, Jonathan Mandelbaum is affiliated with Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Jonathan Mandelbaum was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.