Individual provider Active NPI

Caroline Ann Maylock, MD

  • Neonatal-Perinatal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1053301143
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
01061580A Issued in IN
Practice address
8111 Township Line Rd
St Vincent's Women's Hospital Dept of Neonatology
Indianapolis, IN 46260-2479
Phone
(317) 415-7921
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD 056891L PA
Neonatal-Perinatal Medicine Physician 2080N0001X 01061580A IN Primary

Addresses

Primary practice location

8111 Township Line Rd
St Vincent's Women's Hospital Dept of Neonatology
Indianapolis, IN 46260-2479

Mailing address

8555 One West Dr
Apt 208
Indianapolis, IN 46260-5392
Phone (317) 726-0974

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000329 IN Practitioner - Obstetrics/Gynecology 5698775328 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061580AINMDNeonatal-Perinatal Medicine Physician
MD 056891LPAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jan 1, 2026 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jan 1, 2026 Accepting new patients
St Vincent Pediatric Subspecialties Past Accepting new patients

Locations

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8081 Township Line Rd
Ste 203
Indianapolis, IN 46260
Phone (317) 415-7921

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

Interoperability endpoints

  • Direct secure messaging: caroline.maylock.1@7598.direct.athenahealth.com

Organizations & group practices 3

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053301143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 ONE WEST DR",
            "address_2": "APT 208",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605392",
            "telephone_number": "317-726-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 TOWNSHIP LINE RD",
            "address_2": "ST VINCENT'S WOMEN'S HOSPITAL DEPT OF NEONATOLOGY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602479",
            "telephone_number": "317-415-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYLOCK",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "PA",
            "license": "MD 056891L",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01061580A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.