Individual provider Active NPI

Connie Joan Gapinski, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1093790073
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01055453A Issued in IN
Practice address
1701 N Senate Blvd
Methodist Hospital
Indianapolis, IN 46202-1239
Phone
(317) 962-5740
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26510 AL
Diagnostic Radiology Physician 2085R0202X 01055453A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Methodist Hospital
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 3

IdentifierTypeStateIssuer
P00442681OtherINMEDICARE RAILROAD
200363190MedicaidIN
59927046MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgapinski@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26510ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Radiology Associates, Inc. Diagnostic Radiology CurrentSince Nov 1, 2010 Accepting new patients
Indiana Radiology Partners, Inc Diagnostic Radiology Past Accepting new patients
Indiana University Health, Inc Past Accepting new patients
University Physicians Incorporated Family Medicine Past Accepting new patients

Locations

5924 Reliable Pkwy
Chicago, IL 60686

11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

250 University Blvd
Indianapolis, IN 46202
Phone (317) 274-8580

1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500

Interoperability endpoints

  • Direct secure messaging: cgapinski@direct.iuhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1093790073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "METHODIST HOSPITAL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPINSKI",
        "first_name": "CONNIE",
        "middle_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "26510",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01055453A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00442681",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200363190",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59927046",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgapinski@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "address_2": "Methodist Hospital",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.