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Jonathan M Mongold, D.O.

Family Medicine Physician in Lafayette, IN · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205179553

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Registry record

Entity type Individual (Type 1)
Name Jonathan M Mongold
Credential D.O.
Sex Male
Practice address 5177 Mccarty Ln, Lafayette, IN, 47905
Enumeration date Apr 4, 2013
Last updated in NPPES Jan 27, 2021

Taxonomy & licenses

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 02005180A (IN) Secondary
207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 02005180A (IN) Secondary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 02005180A (IN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
300005550 Medicaid IN -
000001116759 Other IN ANTHEM FAMILY MED PIN
000001106441 Other IN ANTHEM SPORTS MED PIN
000001117320 Other IN ANTHEM URGENT CARE PIN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1205179553 active?
Yes, as of the latest NPPES snapshot, NPI 1205179553 is active (record last updated 2021-01-27).
How do I verify Jonathan Mongold's NPI record?
Cross-check NPI 1205179553 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-01-27.