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

Jason R Grove, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1609040088

Jason R Grove, DPM is a Podiatry in Mishawaka, Indiana. Qualified in 2005, 21 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
21
Licensed in
IN, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

611 E Douglas Rd Ste 101
Mishawaka, IN 46545-1464
Phone: (574) 335-6800
Fax: (574) 335-0772
Show map & directions

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

Additional practice locations (2)

  • 611 E Douglas Rd Ste 407, Mishawaka, IN 46545-1468 — (574) 335-6500
  • 1919 Lake Ave Ste 102b, Plymouth, IN 46563-7830 — (574) 335-6800

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 07001058A (IN)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 36.003447 (OH)

Record details

NPI number1609040088
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 17, 2008
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mishawaka