Individual provider Active NPI

Stephanie A. McCardle, MD

  • Family Medicine Physician
  • Brownsburg, IN
National Provider Identifier
1053342543
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048990 Issued in IN
Practice address
1411 S Green St
Suite 130
Brownsburg, IN 46112-2049
Phone
(317) 858-4610
Fax
(317) 858-4620
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01048990 IN Primary

Addresses

Primary practice location

1411 S Green St
Suite 130
Brownsburg, IN 46112-2049

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5570

Other practice location 1

5926 Crawfordsville Rd
Indianapolis, IN 46224-3722
Phone (317) 653-2730

Other identifiers 1

IdentifierTypeStateIssuer
200865320MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smccardle228383@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001472 IN Practitioner - Family Practice 9830090190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048990INMDFamily Medicine Physician
TP862KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-in Physicians Group, PC Family Medicine CurrentSince Nov 27, 2023 Accepting new patients
CG Medical Associates Inc Family Medicine PastSince Dec 1, 2021 Accepting new patients
Baptist Health Medical Group, Inc. Family Medicine Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Oak Street Health Physicians Group, PC PastSince Nov 27, 2023 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5926 Crawfordsville Rd
Indianapolis, IN 46224
Phone (317) 653-2730

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

Interoperability endpoints

  • 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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1053342543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5570",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S GREEN ST",
            "address_2": "SUITE 130",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122049",
            "telephone_number": "317-858-4610",
            "fax_number": "317-858-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5926 Crawfordsville Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462243722",
            "country_code": "US",
            "telephone_number": "317-653-2730",
            "fax_number": "317-321-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARDLE",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200865320",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smccardle228383@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1411 S Green St",
            "address_2": "Suite 130",
            "city": "Brownsburg",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461122049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.