Individual provider Active NPI

Robin Ledyard, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1114932647
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01042691A Issued in IN
Practice address
2920 N Arlington Ave Ste B
Indianapolis, IN 46218-3362
Phone
(317) 355-9315
Fax
(317) 355-9319
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01042691A IN Primary

Addresses

Primary practice location

2920 N Arlington Ave Ste B
Indianapolis, IN 46218-3362

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Other practice location 1

1021 W 5th Ave
Gary, IN 46402-1703
Phone (219) 880-1190 ext. 121

Other identifiers 1

IdentifierTypeStateIssuer
100379330MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000157 IN Practitioner - Family Practice 2860451085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

10122 E 10TH St
Suite 100
Indianapolis, IN 46229-2697
Phone (317) 355-5717

7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2012 Accepting new patients
Community Health Network, Inc CurrentSince Jul 30, 2018 Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Franciscan Physician Network Past Accepting new patients
Community Health Network, Inc Past Accepting new patients
Franciscan Physician Network Family Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

10122 E 10th St
Ste 100
Indianapolis, IN 46229
Phone (317) 355-5717

10122 E 10th St
Indianapolis, IN 46229
Phone (317) 355-2132

2040 N Shadeland Ave
Ste 300
Indianapolis, IN 46219
Phone (317) 355-3232

2040 N Shadeland Ave
Ste 250
Indianapolis, IN 46219
Phone (317) 355-4253

8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

5502 E 16th St
Ste A12
Indianapolis, IN 46218
Phone (317) 355-2122

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

2920 N Arlington Ave
Ste B
Indianapolis, IN 46218
Phone (317) 355-9431

Interoperability endpoints

  • Direct secure messaging: rledyard31516@ecommunitydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1114932647",
    "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": "2920 N ARLINGTON AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183362",
            "telephone_number": "317-355-9315",
            "fax_number": "317-355-9319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464021703",
            "country_code": "US",
            "telephone_number": "219-880-1190 x121",
            "fax_number": "219-880-0784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDYARD",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042691A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100379330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.