Active NPI
Stephanie A. McCardle, MD
- Family Medicine Physician
- Brownsburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048990
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200865320 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048990 | IN | MD | Family Medicine Physician |
| TP862 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-in Physicians Group, PC | Family Medicine | Current | Accepting new patients |
| CG Medical Associates Inc | Family Medicine | Past | 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 | Past | 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
- 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.
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1073995338
Family Medicine
-
- Urgent Care Clinic/Center
- Avon, IN
- NPI 1063411551
-
- Family Medicine Physician
- Plainfield, IN
- NPI 1104927557
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1073890695
Family Medicine
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.