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

Jason R Cacioppo, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1720043193

Jason R Cacioppo, MD is a Plastic and Reconstructive Surgery in Indianapolis, Indiana. Graduated from University of Texas Medical School at Houston in 1998, 28 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
28
Trained at
University of Texas Medical School at Houston
Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1550 E County Line Rd Ste 320
Indianapolis, IN 46227-1000
Phone: (317) 621-2200
Fax: (317) 621-2204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 01061643A (IN)

Record details

NPI number1720043193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 1998 (28 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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