Individual provider Active NPI

Denise K Thornberry, MD

  • Rheumatology Physician
  • Rushville, IN
National Provider Identifier
1033153507
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
01027885 Issued in IN
Practice address
110 E 13TH St
Rushville, IN 46173-2126
Phone
(765) 932-7591
Fax
(765) 932-7505
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 01027885 IN Primary

Addresses

Primary practice location

110 E 13TH St
Rushville, IN 46173-2126

Mailing address

PO Box 608
Rushville, IN 46173-0608
Phone (765) 932-7591

Other identifiers 2

IdentifierTypeStateIssuer
100346440MedicaidIN
000000635551OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery Associates of Indiana Inc Current Accepting new patients
Indiana University Health Ambulatory Surgery Centers, LLC Current Accepting new patients
Beltway Surgery Centers LLC Current Accepting new patients
Rush Memorial Hospital Past Accepting new patients
Indiana University Health, Inc Rheumatology Past Accepting new patients

Locations

13914 Southeastern Pkwy
Ste 201
Fishers, IN 46037
Phone (317) 275-1999

1801 Senate Blvd
Ste 315
Indianapolis, IN 46202
Phone (317) 929-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1033153507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461730608",
            "telephone_number": "765-932-7591",
            "fax_number": "765-932-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 13TH ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732126",
            "telephone_number": "765-932-7591",
            "fax_number": "765-932-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "DENISE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01027885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100346440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000635551",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.