Active NPI
Audrey April Gabriel, MD
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01085503A
- 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, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085503A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Pediatrics | Current | Accepting new patients |
| Jane Pauley Community Health Center Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | 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
- agabriel485889@ecommunitydirect.com
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1730488818
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.