Active NPI
Neil Craine Estabrook III, M.D.
- Radiation Oncology Physician
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01076841A
- Practice address
- 420 N 26TH St
Lafayette, IN 47904-2848 - Phone
- (765) 448-8000
- Fax
- (765) 448-7623
- NPI assigned
- Mar 30, 2011
- Last updated
- Feb 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Radiation Oncology Physician | 2085R0001X | 01076841A | IN | Primary |
Addresses
Primary practice location
420 N 26TH St
Lafayette, IN 47904-2848
Mailing address
1200 W White River Blvd
Muncie, IN 47303-4988
Phone (877) 668-5621
Other practice location 1
2001 W 86th St
St. Vincent Department of Medical Education
Indianapolis, IN 46260-1902
Phone (317) 338-2281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001017968 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201101670 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nestabro@direct.iuhealth.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
Hospital & facility affiliations
- Indiana University Health Arnett Hospital
- Indiana University Health White Memorial Hospital
- Indiana University Health Frankfort Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 69.39
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
2600 Greenbush St
Lafayette, IN 47904
420 N 26th St
Lafayette, IN 47904
Phone (765) 448-7500
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Critical Access Hospital
- Frankfort, IN
- NPI 1346774270
-
- Critical Access Hospital
- Monticello, IN
- NPI 1710983945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1124317102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WHITE RIVER BLVD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034988",
"telephone_number": "877-668-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N 26TH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042848",
"telephone_number": "765-448-8000",
"fax_number": "765-448-7623"
}
],
"practiceLocations": [
{
"address_1": "2001 W 86th St",
"address_2": "St. Vincent Department of Medical Education",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601902",
"country_code": "US",
"telephone_number": "317-338-2281",
"fax_number": "317-338-6359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTABROOK",
"first_name": "NEIL",
"middle_name": "CRAINE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-30",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01076841A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000001017968",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201101670",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nestabro@direct.iuhealth.org",
"affiliation": "N",
"address_1": "420 N 26th St",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479042848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.