Peter M Knapp Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

01030554A Issued in IN

Practice address

12188A N Meridian St
Suite #200
Carmel, IN 46032-4410

Phone

(317) 564-5100

Fax

(317) 564-5556

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 8

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: urologyin@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marion General Hospital

  • Family Medicine Physician
  • Marion, IN
  • NPI 1528099041
  Medicare reassignment NPD
• Urology of Indiana L.L.C.

  • Urology Physician
  • Greenwood, IN
  • NPI 1487680518

  Urogynecology and Reconstructive Pelvic Surgery

  Medicare reassignment NPD
• Marion General Hospital

  • Pediatrics Physician
  • Marion, IN
  • NPI 1346393204
  NPD
• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  NPD
• Urology of Indiana, L.L.C.

  • Customized Equipment (DME)
  • Indianapolis, IN
  • NPI 1740360379
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Theranostix Inc

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1215208236
  NPD (past)
• Urology of Indiana L.L. C.

  • Customized Equipment (DME)
  • Avon, IN
  • NPI 1578961314
  NPD (past)
• Urology of Indiana L.L.C

  • Customized Equipment (DME)
  • Crawfordsville, IN
  • NPI 1740688589
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Franklin, IN
  • NPI 1003996638
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Danville, IN
  • NPI 1104906734
  NPD (past)
• Urology of Indiana L.L.C.

  • Customized Equipment (DME)
  • Greenfield, IN
  • NPI 1275613804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1013921709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-807-1262",
            "fax_number": "317-859-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188A N MERIDIAN ST",
            "address_2": "SUITE #200",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324410",
            "telephone_number": "317-564-5100",
            "fax_number": "317-564-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "679 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431049",
            "country_code": "US",
            "telephone_number": "317-859-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 E 138th Ste A",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460370087",
            "country_code": "US",
            "telephone_number": "317-813-1660",
            "fax_number": "317-813-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IN",
            "license": "01030554A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01030554A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "100194370",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238320",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000091698",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012495",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012527",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "340012513",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487680518",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "200288740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "12188A N Meridian St",
            "address_2": "Suite #200",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologyin@directaddress.net",
            "affiliation": "N",
            "address_1": "12188A N Meridian St",
            "address_2": "Suite #200",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Gerald Klitzman, M.D.
• Amy S Klooster, PT
• Thomas E Klootwyk, MD
• Lynn R. Klus, M.D.
• Vicki Knapke, DC
• Kate E Kneifel, LCSW
• Kristin Kneisley
• Tonya Kneller, M.A., CCC-SLP
• Courtney Louise Knight
• Erica Nicole Knipp

• Urology Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.