Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Jeon

Individual provider Family Medicine Physician · NPI 1497321087

Andrew Jeon is a Sports Medicine in Greenwood, Indiana. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

533 E County Line Rd Ste 101
Greenwood, IN 46143-1074
Phone: (317) 957-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24190 (CA)

Record details

NPI number1497321087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address6626 E 75th St Ste 500, Indianapolis, IN 46250-2890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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