Gregory Bauwens, MD
Individual provider Active NPI Emergency Medicine Physician · Indianapolis, IN
NPI 1013008465 · NPPES record last updated Oct 19, 2007
Key facts
- NPI
- 1013008465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 01048016 (IN)
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 802-3140
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
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 |
|---|---|---|---|---|
| I20100429000835 | IN | Practitioner - Emergency Medicine | 4385707413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048016 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01048016 | IN | Yes |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
4685 Reliable Pkwy
Chicago, IL 60686-0001
Phone (317) 802-3140
Other providers in Indianapolis, IN
- Kaylee Nickole Janet Bauserman
- Rebecca M Baute
- Aizel Joy S Bautista
- Mariela Bautista
- Suzanne R. Bautista
- Melissa Ramos Bauzo
- Abigail Bavender
- Victoria Anne Baver
- Amy Bax
- David Joseph Bax
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 Oct 19, 2007. 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.