Individual provider Active NPI

Christopher M Doran, MD

  • Pain Medicine (Anesthesiology) Physician
  • Avon, IN
National Provider Identifier
1023221801
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
01066370 Issued in IN
Practice address
120 Avon Market PL Ste 100
Avon, IN 46123-6021
Phone
(317) 396-1300
Fax
(317) 396-1395
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01066370 IN Primary
Anesthesiology Physician 207L00000X 036120703 IL
Anesthesiology Physician 207L00000X 2004015938 MO

Addresses

Primary practice location

120 Avon Market PL Ste 100
Avon, IN 46123-6021

Mailing address

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1328

Other identifiers 2

IdentifierTypeStateIssuer
000000617057OtherANTHEM BCBS
200938930MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.doranmd.p1@direct.goodmancampbell.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090831000226 IN Practitioner - Anesthesiology 1850446626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Avon Market PL
Suite 100
Avon, IN 46123-6021
Phone (317) 396-1300

13345 Illinois St
Carmel, IN 46032-3018

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1451

1513 N 6TH
Terre Haute, IN 47807-1039
Phone (812) 232-0564

555 E County Line Rd
Suite 202
Greenwood, IN 46143-1063
Phone (317) 396-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036120703ILMDAnesthesiology Physician
2004015938MOMDAnesthesiology Physician
01066370INMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Jun 10, 2024 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Jun 10, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1513 N 6th St
Terre Haute, IN 47807
Phone (812) 238-7631

Interoperability endpoints

  • Direct secure messaging: christopher.doranmd.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: christopher.doran.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: cdoran@unionhealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1023221801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1328",
            "fax_number": "317-352-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVON MARKET PL STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236021",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01066370",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036120703",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2004015938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000617057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200938930",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.doranmd.p1@direct.goodmancampbell.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5250 E US Highway 36 Ste 620",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.