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INDIANA UNIVERSITY HEALTH JAY, INC.
NPI 1639940976
Family Medicine in Portland, IN

Active since January 15, 2024CLIA Certified · 3 labs
500 W VOTAW ST, PORTLAND, IN 47371(260) 726-8822 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indiana University Health Jay, Inc. NPPES

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

INDIANA UNIVERSITY HEALTH JAY, INC. (NPI 1639940976) is a healthcare organization registered as a family medicine in Portland, Indiana and active in the NPI registry since January 2024. The organization holds 3 active CLIA laboratory certificates and lists Jonathan W Vanator, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639940976
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINDIANA UNIVERSITY HEALTH JAY, INC.
Location Address500 W VOTAW STPortland, IN 47371-1322
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (877) 668-5621
Phone(260) 726-8822
Organization SubpartNo
Authorized OfficialJonathan W VanatorCfo · (765) 741-2891
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1639940976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 W VOTAW ST, Portland, IN 47371
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indiana University Health Jay, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Indiana University Health Jay, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Stewart, MD
Family Practice
NPI 1316901200
2005 N WALNUT ST
Hartford City, IN 47348
(765) 348-1100
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0989674

Indiana University Health/Jay Family Practice · Portland, IN
Active · expires Aug 1, 2027
CLIA Number15D0989674
Laboratory TypeHospital
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorDaniel Livera
Laboratory Phone(260) 726-8822
Laboratory LocationIndiana University Health/Jay Family Practice428 W Votaw St, Portland, IN 47371
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1081214

Indiana University Health/Jay Family Medicine · Portland, IN
Active · expires Mar 11, 2028
CLIA Number15D1081214
Laboratory TypeHospital
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorJoseph Vormohr
Laboratory Phone(260) 726-7616
Laboratory LocationIndiana University Health/Jay Family Medicine430 W Votaw St, Portland, IN 47371
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2251939

Indiana University Health Jay, Inc · Portland, IN
Active · expires Feb 6, 2028
CLIA Number15D2251939
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorTracy Heath
Laboratory Phone(260) 726-1963
Laboratory LocationIndiana University Health Jay, Inc510 W Votaw St, Portland, IN 47371
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Indiana University Health Jay, Inc.'s NPI number?

The NPI number for Indiana University Health Jay, Inc. is 1639940976. It was assigned to this organization in the NPPES registry on January 15, 2024.

Where is Indiana University Health Jay, Inc. located?

Indiana University Health Jay, Inc. is located at 500 W Votaw St, Portland, IN 47371. The listed phone number is (260) 726-8822.

What is Indiana University Health Jay, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Indiana University Health Jay, Inc. enrolled in Medicare?

Yes. Indiana University Health Jay, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana University Health Jay, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Indiana University Health Jay, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Indiana University Health Jay, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Indiana University Health Jay, Inc. was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.