Individual provider Active NPI

Henry S Gindt, MD

  • General Practice Physician
  • Marion, IN
National Provider Identifier
1043339286
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
01070594A Issued in IN
Practice address
1136 N Baldwin Ave
Marion, IN 46952-2536
Phone
(765) 660-7440
Fax
(765) 662-4715
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 01070594A IN Primary

Addresses

Primary practice location

1136 N Baldwin Ave
Marion, IN 46952-2536

Mailing address

9515 Ledge Wood CT
Fort Wayne, IN 46804-4701
Phone (901) 606-3847

Other identifiers 1

IdentifierTypeStateIssuer
201142000MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address henry.gindt@mgh.eclinicaldirectplus.com

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Primary Care of Memphis PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1043339286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 LEDGE WOOD CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044701",
            "telephone_number": "901-606-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 N BALDWIN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522536",
            "telephone_number": "765-660-7440",
            "fax_number": "765-662-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDT",
        "first_name": "HENRY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01070594A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201142000",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "henry.gindt@mgh.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1136 N Baldwin Ave",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.