JARED RAY DHAEMERS (MD) – Pediatrics Physician, NPI 1770533424
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JARED RAY DHAEMERS (MD)
2120 Rieth Blvd Ste 200
Goshen, IN 465265867
Phone: (574) 262-0313
Fax: (574) 262-8163
Type: Location
2606 Peddlers Village Rd Ste 218
Goshen, IN 465261004
Phone: (574) 262-0313
Fax: (574) 262-8163
Type: Location
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-1610
Type: Mailing
1627, East Bristol Street, Greenleaf Manor, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465143817
Phone: (574) 262-0313
Fax: (574) 262-8163
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($125).
Total Amount
$253
General + Research + Ownership
Payments
8
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $125 |
| PFIZER INC. | $55 |
| AstraZeneca Pharmaceuticals LP | $20 |
| GENZYME CORPORATION | $20 |
| Supernus Pharmaceuticals, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-04-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140425001880 | I | Pediatric Medicine | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46526)
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