Active NPI
Philippe B Delalande, MD
- Internal Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01047411
- Practice address
- 2330 S Dixon Rd
Kokomo, IN 46902-6411 - Phone
- (765) 455-5400
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000585028 | Other | IN | ANTHEM |
| 200272090 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01047411 | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Internal Medicine | Current | 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
- 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.
-
dba American Health Network of Indiana LLC/TELERADIOLOGY
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Internal Medicine
-
- Internal Medicine Physician
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- NPI 1861441537
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.