Individual provider Active NPI

Mark E Gentry, MD

  • Obstetrics & Gynecology Physician
  • Danville, IN
National Provider Identifier
1144260191
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01036942 Issued in IN
Practice address
112 Hospital Lane
Suite 200
Danville, IN 46122
Phone
(317) 745-3366
Fax
(317) 745-8528
NPI assigned
Jun 7, 2006
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01036942 IN Primary

Addresses

Primary practice location

112 Hospital Lane
Suite 200
Danville, IN 46122

Mailing address

1100 Southfield Dr
Suite 1370
Plainfield, IN 46168-4498
Phone (317) 837-5571

Other identifiers 1

IdentifierTypeStateIssuer
100133900AMedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgentry228422@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090512000477 IN Practitioner - Obstetrics/Gynecology 6507915014 Reassigns benefits to 1 organization
I20210128002180 NC Practitioner - Obstetrics/Gynecology 6507915014

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948

112 Hospital LN
Danville, IN 46122-1998

5492 N Ronald Reagan Pkwy
Suite 130
Brownsburg, IN 46112-5618
Phone (317) 456-9050

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1100
Hendricks Community Hospital
Avon, IN 46123-9627
Phone (317) 272-7500

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036942INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Hospital of Surry County Current Accepting new patients
Hendricks County Hospital Current Accepting new patients
Hendricks County Hospital CurrentSince Apr 7, 2009 Accepting new patients
Hendricks County Hospital Obstetrics & Gynecology CurrentSince Apr 7, 2009 Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Past Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

1411 S Green St
Ste 110
Brownsburg, IN 46112
Phone (317) 745-3366

5492 N Ronald Reagan Pkwy
Ste 130
Brownsburg, IN 46112
Phone (317) 456-9050

5492 N Ronald Reagan Pkwy
Ste 210
Brownsburg, IN 46112
Phone (317) 858-4605

112 Hospital Ln
Ste 200
Danville, IN 46122
Phone (317) 745-3366

1100 Southfield Dr
Ste 1370
Plainfield, IN 46168
Phone (317) 837-5570

510 S South St
Mount Airy, NC 27030
Phone (336) 786-4522

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
  • Direct secure messaging: mgentry228422@direct-prd.stelizabeth.com

Ownership & related parties

All facility ownership & control disclosures 46

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hendricks Regional HealthDanville, IN, CCN 150005 Hospital Corporate Director Jan 12, 2022
Brickyard Healthcare - Laporte Care CenterLa Porte, IN, CCN 155062 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Churchman Care CenterIndianapolis, IN, CCN 155138 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Bloomington Care CenterBloomington, IN, CCN 155278 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Brookview Care CenterIndianapolis, IN, CCN 155076 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Sycamore Village Care CenterKokomo, IN, CCN 155367 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Valparaiso Care CenterValparaiso, IN, CCN 155137 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Twelfth Street Care CenterMishawaka, IN, CCN 155109 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Merrillville Care CenterMerrillville, IN, CCN 155362 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Woodbridge Care CenterEvansville, IN, CCN 155390 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Portage Care CenterPortage, IN, CCN 155187 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Lincoln Hills Care CenterTell City, IN, CCN 155384 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Golden Rule Care CenterRichmond, IN, CCN 155264 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Elkhart Care CenterElkhart, IN, CCN 155685 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Brandywine Care CenterGreenfield, IN, CCN 155120 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Brentwood Care CenterEvansville, IN, CCN 155248 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Terrace Care CenterLa Porte, IN, CCN 155136 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Knox Care CenterKnox, IN, CCN 155686 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Woodlands Care CenterNewburgh, IN, CCN 155252 Skilled nursing facility Corporate Director Jan 12, 2022
Hamilton Trace of FishersFishers, IN, CCN 155793 Skilled nursing facility Corporate Director
Managing Control - Governing Body
Jan 12, 2022
Jan 12, 2022
Brickyard Healthcare - Fountainview Care CenterMishawaka, IN, CCN 155178 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Muncie Care CenterMuncie, IN, CCN 155687 Skilled nursing facility Corporate Director Jan 12, 2022
Plainfield Health Care CenterPlainfield, IN, CCN 155215 Skilled nursing facility Corporate Director
Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Jan 12, 2022
Brownsburg Health Care CenterBrownsburg, IN, CCN 155206 Skilled nursing facility Corporate Director Jan 12, 2022
Castleton Health Care CenterIndianapolis, IN, CCN 155245 Skilled nursing facility Corporate Director
Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Jan 12, 2022
Brickyard Healthcare - Petersburg Care CenterPetersburg, IN, CCN 155375 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Richmond Care CenterRichmond, IN, CCN 155157 Skilled nursing facility Corporate Director Jan 12, 2022
Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN, CCN 155834 Skilled nursing facility Corporate Director Jan 12, 2022
The Waters of LebanonLebanon, IN, CCN 155211 Skilled nursing facility Corporate Director Jan 12, 2022
Westside Retirement VillageIndianapolis, IN, CCN 155606 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Mitchell ManorMitchell, IN, CCN 155324 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Life Care Center of Ft WayneFort Wayne, IN, CCN 155266 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Heritage HealthcareWest Lafayette, IN, CCN 155402 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Life Care Center of the WillowsValparaiso, IN, CCN 155158 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Hammond-Whiting Care CenterWhiting, IN, CCN 155423 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Parkview Care CenterEvansville, IN, CCN 155348 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Life Care Center of Michigan CityMichigan City, IN, CCN 155344 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Life Care Center of LagrangeLagrange, IN, CCN 155343 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
The Lane HouseCrawfordsville, IN, CCN 155477 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
The WoodlandsMuncie, IN, CCN 155229 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Life Care Center of ValparaisoValparaiso, IN, CCN 155331 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Green Valley Care CenterNew Albany, IN, CCN 155070 Skilled nursing facility Trustee of the SNF Jan 12, 2022
Life Care Center of RochesterRochester, IN, CCN 155379 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Rensselaer Care CenterRensselaer, IN, CCN 155287 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Byron Health CenterFort Wayne, IN, CCN 155364 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Jan 12, 2022
Jan 12, 2022
Hickory Creek at SunsetGreencastle, IN, CCN 155565 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF
Dec 1, 2022
Dec 1, 2022

Owned or controlled facilities with NPI records 46

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 46

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1144260191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOSPITAL LANE",
            "address_2": "SUITE 200",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "46122",
            "telephone_number": "317-745-3366",
            "fax_number": "317-745-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01036942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133900A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgentry228422@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "112 Hospital Lane",
            "address_2": "Suite 200",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.