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JARED RAY DHAEMERS MD
NPI 1770533424
Pediatrics in Elkhart, IN

Active since May 12, 2006PECOS Enrolled
1627 E BRISTOL ST, ELKHART, IN 46514(574) 262-0313(574) 262-8163 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Apr 1, 2021, Mar 29, 2016 (3 updates tracked since 2016).

About Jared Ray Dhaemers Md NPPES

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

JARED RAY DHAEMERS MD (NPI 1770533424) is an individual pediatrics provider in Elkhart, Indiana, licensed in Indiana (01061757A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770533424
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJARED RAY DHAEMERSCredential: MD
Location Address1627 E BRISTOL STElkhart, IN 46514-3817
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1610
Phone(574) 262-0313
Fax(574) 262-8163
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1770533424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01061757A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1627 E BRISTOL ST, Elkhart, IN 46514
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12120 Rieth Blvd Ste 200Goshen, IN 46526-5867 · Phone (574) 262-0313 · Fax (574) 262-8163
Location 22606 Peddlers Village Rd Ste 218Goshen, IN 46526-1004 · Phone (574) 262-0313 · Fax (574) 262-8163

Other Identifiers 1

Medicaid200818270IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Ray Dhaemers Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jared Dhaemers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
Same address
Pediatrics
1627 E BRISTOL ST
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1861816761 (574) 262-0313

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 46514 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
$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.

Other Providers at the Same Location NPPES 15

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

ROSEMARY J EASH FNP
Nurse Practitioner (Family)
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
MR. JORDAN ALLEN HUNSBERGER DO
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SHAHIR OKHOVAT-GHAHFAROKHI M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. ANDREA BETH BONTRAGER YODER PHD, RDN, CD
Dietitian, Registered
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
DR. SU CHOO CHANG MD
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
BRISTOL STREET PEDIATRICS, P.C.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
SANDRA H. MORGAN M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313
EMILY MARIE KISOR M.D.
Pediatrics
1627 E BRISTOL ST
ELKHART, IN 46514
Elkhart County (574) 262-0313

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 Dhaemers's NPI number?

The NPI number for Jared Dhaemers is 1770533424. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Jared Dhaemers located?

Jared Dhaemers practices at 1627 E Bristol St, Elkhart, IN 46514. The listed phone number is (574) 262-0313.

What is Jared Dhaemers's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jared Dhaemers enrolled in Medicare?

Yes. Jared Dhaemers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Dhaemers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Dhaemers reassigns Medicare benefits to Beacon Medical Group, Inc. (Elkhart, IN). 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 Dhaemers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Dhaemers accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jared Dhaemers 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.

When was this NPI record last updated?

The NPPES record for Jared Dhaemers was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.