NPIMap

Individual provider Active NPI

Marc Robert Kappelman, MD

  • Obstetrics & Gynecology Physician
  • Carmel, IN
National Provider Identifier
1144328915
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01027089A Issued in IN
Practice address
13046 Deerstyne Green St
Carmel, IN 46032-8378
Phone
(317) 846-6676
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 01027089A IN Primary

Addresses

Primary practice location

13046 Deerstyne Green St
Carmel, IN 46032-8378

Mailing address

13046 Deerstyne Green St
Carmel, IN 46032-8378
Phone (317) 846-6676

Other identifiers 3

IdentifierTypeStateIssuer
100236420AMedicaidIN
000000078677OtherINDIANA COMPREHENSIVE HEA
000000078677OtherANTHEM

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
Major Hospital Past Accepting new patients
Saint Vincent Physician Services, Inc. Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Obstetrix Medical Group of Indiana, P.C. PastSince Mar 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marc.kappelman@ogi.gwaydirect.com

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1144328915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13046 DEERSTYNE GREEN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328378",
            "telephone_number": "317-846-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13046 DEERSTYNE GREEN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328378",
            "telephone_number": "317-846-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPELMAN",
        "first_name": "MARC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01027089A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100236420A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA COMPREHENSIVE HEA",
            "identifier": "000000078677",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000078677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.