Individual provider Active NPI

Mary J Tempel, N.P.

  • Dermatology Physician
  • Carmel, IN
National Provider Identifier
1083725790
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28050560A Issued in IN
Practice address
11900 N Pennsylvania St
#202
Carmel, IN 46032-4693
Phone
(317) 926-3739
Fax
(317) 921-7478
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28050560A IN Primary

Addresses

Primary practice location

11900 N Pennsylvania St
#202
Carmel, IN 46032-4693

Mailing address

3755 E 82ND St
#75
Indianapolis, IN 46240-7335
Phone (317) 926-3739

Other identifiers 1

IdentifierTypeStateIssuer
200253470AMedicaidIN

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28050560AINMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Inc Dermatology Current Accepting new patients
Major Hospital Past Accepting new patients

Locations

875 Airport Pkwy
Greenwood, IN 46143
Phone 31792637395155

1801 Senate Blvd
Ste 745
Indianapolis, IN 46202
Phone (317) 962-5600

2620 Kessler Boulevard East Dr
Ste 235
Indianapolis, IN 46220
Phone (317) 475-6130

3755 E 82nd St
Ste 75
Indianapolis, IN 46240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1083725790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E 82ND ST",
            "address_2": "#75",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407335",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N PENNSYLVANIA ST",
            "address_2": "#202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324693",
            "telephone_number": "317-926-3739",
            "fax_number": "317-921-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPEL",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "28050560A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253470A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.