Active NPI
Craig Elder, M.D.
- Plastic and Reconstructive Surgery Physician
- Indianapolis, IN
National Provider Identifier
1073961637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 01090672A
- Practice address
- 545 Barnhill Drive, Emerson Hall 232
Indianapolis, IN 46202-0287 - Phone
- (317) 278-0394
- NPI assigned
- May 24, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 01090672A | IN | Primary |
Addresses
Primary practice location
545 Barnhill Drive, Emerson Hall 232
Indianapolis, IN 46202-0287
Mailing address
545 Barnhill Drive Emerson Hall 232
Indianapolis, IN 46202-0287
Phone (317) 278-0394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01090672A | IN | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1073961637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 BARNHILL DRIVE EMERSON HALL 232",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462020287",
"telephone_number": "317-278-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 BARNHILL DRIVE, EMERSON HALL 232",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462020287",
"telephone_number": "317-278-0394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IN",
"license": "01090672A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.