Active NPI
James William Faulkner III, MD
- Urology Physician
- Greenwood, IN
National Provider Identifier
1043282403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 01078904A
- Practice address
- 679 E County Line Rd
Greenwood, IN 46143-1049 - Phone
- (317) 890-2000
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 01078904A | IN | Primary |
Addresses
Primary practice location
679 E County Line Rd
Greenwood, IN 46143-1049
Mailing address
679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 807-1241
Other practice location 1
1270 N Post Rd Ste A
Indianapolis, IN 46219-4254
Phone (317) 890-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300005511 | Medicaid | IN | |
| 1615843 | Other | BC/BS PROVIDER # | |
| 00000010099158 | Other | IN | BC/BS PROVIDER # INDIANA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01078904A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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 Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1043282403",
"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": "317-807-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 E COUNTY LINE RD",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431049",
"telephone_number": "317-890-2000"
}
],
"practiceLocations": [
{
"address_1": "1270 N Post Rd Ste A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462194254",
"country_code": "US",
"telephone_number": "317-890-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAULKNER",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01078904A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300005511",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "1615843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER # INDIANA",
"identifier": "00000010099158",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.