Katherine Carlsen Anderson, MD
Individual provider Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1003379116 · NPPES record last updated Mar 16, 2025
Key facts
- NPI
- 1003379116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01093695A (IN)
- Practice address
- 1701 N Senate Blvd # Ag012
Indianapolis, IN 46202-1239 - Phone
- (317) 962-3525
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913000564 | IN | Practitioner - Emergency Medicine |
5991038978 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01093695A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group Riley Specialists, LLC | Pediatrics | Current |
Accepting new patients |
| Indiana Clinic Critical Care LLC | Current |
Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Current |
Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
2574 Reliable Pkwy
Chicago, IL 60686
1801 Senate Blvd
Ste 230
Indianapolis, IN 46202
Phone (317) 962-5280
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
1701 Senate Blvd
#12
Indianapolis, IN 46202
Phone (317) 962-3525
Interoperability endpoints
- kanderson@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01093695A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 01093695A | IN | Yes |
Addresses
Primary practice location
1701 N Senate Blvd # Ag012
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000
Other practice location 2
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-5000
Other practice location 3
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300096353 | Medicaid | IN |
Other names
- Katherine Carlsen
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kanderson@direct.iuhealth.org | Direct | |
| Direct Messaging Address | kanderson@direct.iuhealth.org | Direct | |
| Direct Messaging Address | kanderson@direct.iuhealth.org | Direct |
Other providers in Indianapolis, IN
- James Anderson III
- Jamie Anderson
- Janine Anderson
- Kaitlin Anderson
- Katelynn Anderson
- Katherine Marie Anderson
- Kayla Anderson
- Kelsey N Anderson
- Krista A Anderson
- Lakeshia Denise Anderson
All providers in Indianapolis, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.