Individual provider Active NPI

Philippe B Delalande, MD

  • Internal Medicine Physician
  • Kokomo, IN
National Provider Identifier
1114961182
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01047411 Issued in IN
Practice address
2330 S Dixon Rd
Kokomo, IN 46902-6411
Phone
(765) 455-5400
NPI assigned
Jun 16, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01047411 IN Primary

Addresses

Primary practice location

2330 S Dixon Rd
Kokomo, IN 46902-6411

Mailing address

2330 S Dixon Rd
Kokomo, IN 46902-6411
Phone (765) 455-5400

Other identifiers 2

IdentifierTypeStateIssuer
000000585028OtherINANTHEM
200272090MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phillipe.delalandemd.p7@direct.ahni.nextgenshare.com Direct

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
01047411INMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Aug 5, 2019 Accepting new patients
American Health Network of Indiana, LLC Internal Medicine CurrentSince Aug 5, 2019 Accepting new patients
Major Hospital Past Accepting new patients
Methodist Medical Group Physicians Inc Past Accepting new patients
Care Group LLC Internal Medicine Past Accepting new patients
Parkview Hospital, Inc. Past Accepting new patients
Indiana University Health Care Associates, Inc. Past Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients

Locations

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

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

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

2330 S Dixon Rd
Kokomo, IN 46902
Phone (765) 455-5400

Interoperability endpoints

  • Direct secure messaging: philippe.delalande.1@7598.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1114961182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026411",
            "telephone_number": "765-455-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026411",
            "telephone_number": "765-455-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELALANDE",
        "first_name": "PHILIPPE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000585028",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200272090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillipe.delalandemd.p7@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2330 S Dixon Rd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.