Active NPI
David Michael Blackwell II, MD
- Family Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01047203A
- Practice address
- 907 N East St
Indianapolis, IN 46202-3425 - Phone
- (317) 644-3461
- Fax
- (317) 602-2654
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Family Medicine, IN
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1265477632
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1356395529
Family Medicine
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Non-Pharmacy Dispensing Site
- Indianapolis, IN
- NPI 1558444885
Family Medicine
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
Hospital
-
- Community Based Hospice Care Agency
- Carmel, IN
- NPI 1104560069
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Anchor of Hope Hospice
- Legacy Hospice LLC
- Anew Hospice
- Indiana University Health
- Indiana University Health North Hospital
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050404000872 | IN | Practitioner - Family Practice | 8921055708 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047203 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Community Health Network, Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Community Hospitals of Indiana Inc | Family Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Wellcare Family Medicine PC | Family Medicine | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
2625 E 62nd St
Ste 2010
Indianapolis, IN 46220
Phone (317) 251-6121
9757 Westpoint Dr
Ste 100
Indianapolis, IN 46256
Phone (317) 577-2779
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- dblackwell4@direct.iuhealth.org
- dblackwell@direct.iuhealth.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01047203 | IN | |
| Family Medicine Physician | 207Q00000X | 01047203A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
907 N East St
Indianapolis, IN 46202-3425
Mailing address
907 N East St
Indianapolis, IN 46202-3425
Phone (317) 644-3461
Other practice location 1
2625 E 62nd St Ste 2010
Indianapolis, IN 46220-0037
Phone (317) 216-2800
Other practice location 2
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102455200 | Other | IN | ANTHEM PTAN |
| 300087633 | Medicaid | IN |
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dblackwell@direct.iuhealth.org | Direct | |
| Direct Messaging Address | dblackwell@direct.iuhealth.org | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2025.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1104903111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 N EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023425",
"telephone_number": "317-644-3461",
"fax_number": "317-602-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N EAST ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462023425",
"telephone_number": "317-644-3461",
"fax_number": "317-602-2654"
}
],
"practiceLocations": [
{
"address_1": "2625 E 62nd St Ste 2010",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462200037",
"country_code": "US",
"telephone_number": "317-216-2800",
"fax_number": "317-216-2777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "888-484-3258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKWELL",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01047203",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01047203A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1102455200",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300087633",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dblackwell@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2625 E 62nd St Ste 2010",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462200037",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dblackwell@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.