Individual provider Active NPI

Rebecca Irene Smock, DO

  • Family Medicine Physician
  • Greenwood, IN
National Provider Identifier
1063974814
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02006297A Issued in IN
Practice address
1703 W Stones Crossing Rd Ste 200
Greenwood, IN 46143-8558
Phone
(317) 859-3737
Fax
(317) 859-3730
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02006297A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X 11020421A IN

Addresses

Primary practice location

1703 W Stones Crossing Rd Ste 200
Greenwood, IN 46143-8558

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

990 E State Road 44
Franklin, IN 46131-9199
Phone (317) 736-8474

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.smockdo.p6@direct.ahni.nextgenshare.com

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
I20220711002504 IN Practitioner - Family Practice 3870826076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Health Network of Indiana LLCGroup PAC ID 9830093533, 204 clinicians

Practice addresses (Care Compare)

990 E State Rd
Suite 44
Franklin, IN 46131-9199
Phone (317) 736-8474

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006297AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana, LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
American Health Network of Indiana LLC CurrentSince Aug 1, 2022 Accepting new patients
American Health Network of Indiana, LLC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

990 E State Road 44
Franklin, IN 46131
Phone (317) 736-8474

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

Interoperability endpoints

  • Direct secure messaging: rsmock211482@direct.optum.com

Organizations & group practices 4

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 4

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1063974814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 W STONES CROSSING RD STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438558",
            "telephone_number": "317-859-3737",
            "fax_number": "317-859-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 E State Road 44",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461319199",
            "country_code": "US",
            "telephone_number": "317-736-8474",
            "fax_number": "317-736-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "REBECCA",
        "middle_name": "IRENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02006297A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11020421A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.smockdo.p6@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "address_1": "990 E State Road 44",
            "city": "Franklin",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461319199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.