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PAUL A JONES MD
NPI 1689651341
Internal Medicine - Interventional Cardiology in Munster, IN

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
9339 CALUMET AVE STE A, MUNSTER, IN 46321(708) 214-7190 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Mar 31, 2023, Mar 16, 2021 and 3 more (6 updates tracked since 2018).

About Paul A Jones Md NPPES

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

PAUL A JONES MD (NPI 1689651341) is an individual interventional cardiology provider in Munster, Indiana, licensed in Indiana (01062419A) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Olympia & Chicago Heights, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1986).

NPPES Registry Identity

NPI1689651341
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NamePAUL A JONESCredential: MD
Location Address9339 CALUMET AVE STE AMunster, IN 46321-2879
Mailing Address9339 Calumet Ave Ste AMunster, IN 46321-2879 · (708) 214-7190
Phone(708) 214-7190
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateDecember 23, 2005
Last NPPES UpdateApril 10, 20246 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1689651341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in IN · 01062419A
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 036075923 (IL), 01062419A (IN)
9339 CALUMET AVE STE A, Munster, IN 46321
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Other Identifiers 3

Medicaid200398480IN
Other01621679IL · Bcbs Of Il
Medicaid036075923IL

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

Paul A Jones 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 ID1355233990
PECOS Enrollment IDI20070313000099
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services37 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers31 claims31 services$18.45 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers32 claims254 services$35.43 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$28.89 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers32 claims1,653 services$1.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. CHARLES RANDALL CHUBE M.D.
Family Medicine
9339 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 513-8275
PAUL A JONES MD LLC
Internal Medicine (Interventional Cardiology)
9339 CALUMET AVE STE A
MUNSTER, IN 46321
Lake County (219) 203-1156

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 Paul Jones's NPI number?

The NPI number for Paul Jones is 1689651341. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Paul Jones located?

Paul Jones practices at 9339 Calumet Ave Ste A, Munster, IN 46321. The listed phone number is (708) 214-7190.

What is Paul Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Jones enrolled in Medicare?

Yes. Paul Jones 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.

Is Paul Jones affiliated with any hospitals?

According to CMS data, Paul Jones is affiliated with Franciscan Health Olympia & Chicago Heights, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Paul Jones was last updated on April 10, 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.