Active NPI
John H Storey, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01054684
- Practice address
- 8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693 - Phone
- (317) 621-8500
- Fax
- (317) 621-8501
- NPI assigned
- Oct 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 01054684 | IN | Primary |
| Surgery Physician | 208600000X | 01054684A | IN |
Addresses
Primary practice location
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2693
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5528673 | Other | IN | AETNA |
| 000000569479 | Other | IN | ANTHEM |
| 399892 | Other | IN | WELLCARE |
| 200333850 | Medicaid | IN | |
| P01209643 | Other | IN | RR MEDICARE PTAN |
| 000000200146 | Other | ANTHEM | |
| CB8082 | Other | TRICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of New Mexico School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000
8075 N Shadeland Ave
Suite 200
Indianapolis, IN 46250-2694
Phone (317) 621-8500
Hospital & facility affiliations
- Community Health at Home LLC
- Community Hospital East
- Community Hospital South, Inc.
- Community Hospital of Anderson and Madison County
- Community Hospital North
- Community Howard Regional Health Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 37 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01054684 | IN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| New Mexico Heart Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
5918 Reliable Pkwy
Chicago, IL 60686
5819 Reliable Pkwy
Chicago, IL 60686
1600 Albany St
Beech Grove, IN 46107
Phone (317) 783-8148
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Ste 310
Indianapolis, IN 46250
Phone (317) 621-8000
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
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
1315 N Arlington Ave
Ste 100
Indianapolis, IN 46219
Phone (317) 322-2392
325 Westfield Rd
Ste A
Noblesville, IN 46060
Phone (317) 353-9336
Interoperability endpoints
- jstorey7397@ecommunitydirect.com
Organizations & group practices 5
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.
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- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Cardiovascular Disease Physician
- Albuquerque, NM
- NPI 1346242575
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Indianapolis, IN
- NPI 1730646589
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1902878994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1104914340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8075 N SHADELAND AVE",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502693",
"telephone_number": "317-621-8500",
"fax_number": "317-621-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOREY",
"first_name": "JOHN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IN",
"license": "01054684",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01054684A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5528673",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000569479",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "399892",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200333850",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01209643",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000200146",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "CB8082",
"state": null
}
],
"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 14, 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.
- 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.