Active NPI
Joanna Lee Hunter-Squires, M.D.
- Surgery Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01078350A
- Practice address
- 1111 Ronald Reagan Pkwy
Avon, IN 46123-7085 - Phone
- (317) 944-7874
- Fax
- (317) 944-7874
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A148776 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | IN | ||
| Surgery Physician | 208600000X | 01078350A | IN | Primary |
Addresses
Primary practice location
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
545 Barnhill Dr
Emerson Hall 203
Indianapolis, IN 46202-5112
Phone (317) 274-5771
Other practice location 2
310 N San Vicente Blvd # 310
West Hollywood, CA 90048-1810
Phone (310) 423-9970
Other names 1
- Joanna Lee Hunter
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhuntersquires@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-1400
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
550 University Blvd
Indianapolis, IN 46202-5149
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 15 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A148776 | CA | MD | Surgery Physician |
| 01078350A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| University Surgeons, Inc. | Surgery | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
5208 Reliable Pkwy
Chicago, IL 60686
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
545 Barnhill Dr
#203
Indianapolis, IN 46202
Phone (317) 274-3086
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
Interoperability endpoints
- jhunter214319@direct.cshs.org
- jhuntersquires14006@direct.eskenazihealth.edu
- jhunter2@direct.iuhealth.org
- jhuntersquires@direct.iuhealth.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1023378437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-944-7874",
"fax_number": "317-944-7874"
}
],
"practiceLocations": [
{
"address_1": "545 Barnhill Dr",
"address_2": "Emerson Hall 203",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025112",
"country_code": "US",
"telephone_number": "317-274-5771",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 N San Vicente Blvd # 310",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481810",
"country_code": "US",
"telephone_number": "310-423-9970",
"fax_number": "310-423-9577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNTER-SQUIRES",
"first_name": "JOANNA",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A148776",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01078350A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhuntersquires@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1111 Ronald Reagan Pkwy",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461237085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "HUNTER",
"middle_name": "LEE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.