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JARRED R MONDONEDO MD, PHD
NPI 1801419130
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 21, 2020PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C, ANN ARBOR, MI 48109(734) 647-7321 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jarred R Mondonedo Md, Phd NPPES

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

JARRED R MONDONEDO MD, PHD (NPI 1801419130) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351046202) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801419130
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARRED R MONDONEDOCredential: MD, PHD
Location Address1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION CAnn Arbor, MI 48109-5856
Mailing Address1500 E Medical Center Drive, 5344 Cvc, Spc 5864Ann Arbor, MI 48109-5864
Phone(734) 647-7321
Sole ProprietorNo
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1801419130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351046202
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DRIVE, SPC 5856, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarred R Mondonedo Md, Phd 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.

Other Providers at the Same Location NPPES 9

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

JUAN SEBASTIAN CIFUENTES MUNOZ MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
GARDNER LEHRBACH YOST MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
KELLIE MARGORIE PHIPPS
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
DR. CHI CHI DO-NGUYEN DO
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
ALAN AHLAWAT SUMSKI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, VASCULAR SURGERY CLINIC
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
CATHERINE MICHELLE WAGNER MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
SYED SIKANDAR RAZA
Hospitalist
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
TEMILOLAOLUWA DARAMOLA MD
Internal Medicine
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321

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 Jarred Mondonedo's NPI number?

The NPI number for Jarred Mondonedo is 1801419130. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Jarred Mondonedo located?

Jarred Mondonedo practices at 1500 E Medical Center Drive, Spc 5856 Fcvc 3rd Floor, Reception C, Ann Arbor, MI 48109. The listed phone number is (734) 647-7321.

What is Jarred Mondonedo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jarred Mondonedo enrolled in Medicare?

Yes. Jarred Mondonedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jarred Mondonedo was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.