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

Jonathan M Mongold, DO

Individual provider Emergency Medicine Physician · NPI 1205179553

Jonathan M Mongold, DO is a Family Practice in Lafayette, Indiana. Qualified in 2013, 13 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5177 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Show map & directions

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

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-6006

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005180A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02005180A (IN)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 02005180A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205179553
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address1200 W White River Blvd # 4300, Muncie, IN 47303-4988

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE, SPORTS MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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