Individual provider Active NPI

Audrey April Gabriel, MD

  • Pediatrics Physician
  • Indianapolis, IN
National Provider Identifier
1073010567
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01085503A Issued in IN
Practice address
7910 E Washington St Ste 300
Indianapolis, IN 46219-5564
Phone
(317) 355-5437
Fax
(317) 355-9047
NPI assigned
Apr 10, 2018
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 01085503A IN Primary

Addresses

Primary practice location

7910 E Washington St Ste 300
Indianapolis, IN 46219-5564

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

705 Riley Hospital Dr Rm 5867
Indianapolis, IN 46202-5109
Phone (317) 944-4034

Other names 1

  • Audrey April Marrah Former name

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
I20210721002195 IN Practitioner - Pediatric Medicine 9537424254 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01085503AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Sep 3, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1503 N Mitthoefer Rd
Indianapolis, IN 46229

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

7910 E Washington St
Ste 300
Indianapolis, IN 46219
Phone (317) 355-5437

8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320

Interoperability endpoints

  • Direct secure messaging: agabriel485889@ecommunitydirect.com
  • Direct secure messaging: agabriel730688@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1073010567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 E WASHINGTON ST STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195564",
            "telephone_number": "317-355-5437",
            "fax_number": "317-355-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Riley Hospital Dr Rm 5867",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025109",
            "country_code": "US",
            "telephone_number": "317-944-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "AUDREY",
        "middle_name": "APRIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01085503A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "MARRAH",
            "middle_name": "APRIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.