Active NPI 1669411807 Individual Practitioner Male Practitioner

Dr. Michael Jagger , MD

Pediatrics • Mishawaka, IN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Jagger, MD is a registered healthcare professional specializing in Pediatrics in Mishawaka, IN. Practice services are available at 611 E DOUGLAS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

611 E Douglas
Suite 309

Mishawaka, IN 465451467

Telephone 5742522640

Fax 5742522650

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mishawaka, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.0 Yrs

State Avg: 19.8 Yrs

Regional Practice Density

8 Specialists

Practicing in Mishawaka, IN (1179 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01023464

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100222270A (IN)

Commercial Insurance / Payer ID Bcbs

000000269222 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Mary Graber , MD

Pediatrics

NPI 1427097682

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2009

Registered at 611 E DOUGLAS, SUITE 309, MISHAWAKA, IN 465451467 (Tel: 5742522640)

📍

Updated Business Mailing Address December 02, 2009

Registered at PO BOX 6309, SOUTH BEND, IN 466606309 (Tel: 5744726700)

👤

Provider Name / Credentials Updated December 02, 2009

Recorded as MICHAEL JAGGER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Pediatrics (License #01023464 in IN)

🟢

Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669411807

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 05, 2006

Last Update: December 02, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6309

South Bend, IN 466606309

Phone: 5744726700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.