Individual provider Active NPI

Andrea McCullum Mejia, D.O.

  • Rheumatology Physician
  • Plainfield, IN
National Provider Identifier
1023464054
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
OS17947 Issued in FL
Practice address
1100 Southfield Dr Ste 1330
Plainfield, IN 46168-4499
Phone
(317) 837-5510
Fax
(317) 837-5520
NPI assigned
May 9, 2016
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X OS17947 FL Primary

Addresses

Primary practice location

1100 Southfield Dr Ste 1330
Plainfield, IN 46168-4499

Mailing address

1100 Southfield Dr Ste 1370
Plainfield, IN 46168-4300
Phone (317) 837-5566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amccullummejia461112@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210902001026 FL Practitioner - Rheumatology 8224308135 Reassigns benefits to 1 organization
I20251108000080 IN Practitioner - Internal Medicine 8224308135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
The Villages, FL 32162-1762
Phone (352) 693-3378

1100 Southfield Dr
1330 Hendricks Rheumatology
Plainfield, IN 46168-4499
Phone (317) 837-5510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17947FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Rheumatology CurrentSince Nov 4, 2025 Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Nov 4, 2025 Accepting new patients
Lakeshore Rheumatology, PLLC Rheumatology CurrentSince Jan 14, 2025 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Family Medicine Institute Professional Limited Liability Company PastSince Aug 1, 2021 Accepting new patients

Locations

15532 W Colonial Dr
Ste C
Winter Garden, FL 34787
Phone (386) 561-9967

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1100 Southfield Dr
Ste 1330
Plainfield, IN 46168
Phone (317) 837-5510

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amccullummejia461112@direct-prd.stelizabeth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEIDD/Endpoint/FEEIDD
  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 8

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

Hospital & facility affiliations 7

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1023464054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684300",
            "telephone_number": "317-837-5566",
            "fax_number": "317-837-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR STE 1330",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684499",
            "telephone_number": "317-837-5510",
            "fax_number": "317-837-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUM MEJIA",
        "first_name": "ANDREA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "OS17947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccullummejia461112@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1100 Southfield Dr Ste 1330",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461684499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

Verify at the official NPI Registry.