Individual provider Active NPI

Mary Chambers, MD

  • Pediatrics Physician
  • Columbus, IN
National Provider Identifier
1124027438
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01053292A Issued in IN
Practice address
4225 Vickers Dr
Columbus, IN 47203-4649
Phone
(812) 379-9524
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01053292A IN Primary

Addresses

Primary practice location

4225 Vickers Dr
Columbus, IN 47203-4649

Mailing address

4225 Vickers Dr
Columbus, IN 47203-4649
Phone (812) 379-9524

Other identifiers 1

IdentifierTypeStateIssuer
300031412MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Pediatric Associates, PC Pediatrics CurrentSince Sep 14, 2025 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4225 Vickers Dr
Columbus, IN 47203
Phone (812) 379-9524

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8928/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.chambers.1@8928.direct.athenahealth.com

Organizations & group practices 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1124027438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 VICKERS DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034649",
            "telephone_number": "812-379-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 VICKERS DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034649",
            "telephone_number": "812-379-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01053292A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031412",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.