Active NPI
Stephen Alan Rappaport, M.D.
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01032429A
- Practice address
- 9292 N Meridian St
Suite 107
Indianapolis, IN 46260-1857 - Phone
- (317) 846-9792
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01032429A | IN | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 01032429A | IN |
Addresses
Primary practice location
9292 N Meridian St
Suite 107
Indianapolis, IN 46260-1857
Mailing address
8025 Broadway St
Indianapolis, IN 46240-2502
Phone (317) 254-1617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100228190A | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032429A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Current | Accepting new patients | |
| Witham Memorial Hospital | Current | Accepting new patients | |
| Advanced Healthcare Associates LLP | Internal Medicine | Current | Accepting new patients |
Locations
2300 Parkview Ln
Elwood, IN 46036
Phone (765) 203-2672
3834 S Emerson Ave
Ste C
Indianapolis, IN 46203
Phone (317) 782-1577
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
701 S Main St
Summitville, IN 46070
Phone (765) 203-2671
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
Interoperability endpoints
- srappaport47268@direct.franciscanalliance.org
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elwood, IN
- NPI 1841225091
-
- Family Medicine Physician
- Lebanon, IN
- NPI 1083750293
-
- Physical Therapist
- Zionsville, IN
- NPI 1952282204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1124248935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 BROADWAY ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462402502",
"telephone_number": "317-254-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9292 N MERIDIAN ST",
"address_2": "SUITE 107",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601857",
"telephone_number": "317-846-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPPAPORT",
"first_name": "STEPHEN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01032429A",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IN",
"license": "01032429A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100228190A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.