NPIMap

Individual provider Active NPI

Kevin E. Macadaeg, M.D.

  • Pain Medicine Physician
  • Carmel, IN
National Provider Identifier
1114011681
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
01040591A Issued in IN
Practice address
13225 N Meridian St
Carmel, IN 46032-5480
Phone
(317) 228-7000
Fax
(317) 228-2321
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 01040591A IN Primary

Addresses

Primary practice location

13225 N Meridian St
Carmel, IN 46032-5480

Mailing address

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Other identifiers 7

IdentifierTypeStateIssuer
000000338385OtherINANTHEM PROVIDER NUMBER
000000338385OtherINUNICARE PROVIDER NUMBER
9450316OtherINCIGNA PROVIDER NUMBER
366735000OtherINUS DEPT. OF LABOR
000000016705OtherINM-PLAN PROVIDER NUMBER
050086502OtherINMEDICARE RAIL ROAD
366735000OtherINUS POSTAL SERVICE WORKERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000680 IN Practitioner - Interventional Pain Management 0143362897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Spine Group, PCGroup PAC ID 4082502349, 49 clinicians

Practice addresses (Care Compare)

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.94 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040591AINMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Spine Group, PC Pain Medicine CurrentSince Jan 21, 2002 Accepting new patients
Indiana Spine Group, PC Current Accepting new patients
Indiana Spine Group, PC Pain Medicine CurrentSince Jan 21, 2002 Accepting new patients
Indiana Spine Group, PC Past Accepting new patients
Major Hospital Past Accepting new patients
Indiana Spine Group, PC Pain Medicine Past Accepting new patients

Locations

13225 N Meridian St
Carmel, IN 46032
Phone (317) 715-4863

8402 Harcourt Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-6815

821 N Dixon Rd
Kokomo, IN 46901
Phone (765) 450-0111

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1114011681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACADAEG",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "01040591A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000338385",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE PROVIDER NUMBER",
            "identifier": "000000338385",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "9450316",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "366735000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-PLAN PROVIDER NUMBER",
            "identifier": "000000016705",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "050086502",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US POSTAL SERVICE WORKERS",
            "identifier": "366735000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.