Individual provider Active NPI

Wayne Richard Woodard, MD

  • Anesthesiology Physician
  • Carmel, IN
National Provider Identifier
1144497090
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01067817A Issued in IN
Practice address
11700 N Meridian St
Carmel, IN 46032-4656
Phone
(317) 577-4200
Fax
(317) 577-9203
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01067817A IN Primary

Addresses

Primary practice location

11700 N Meridian St
Carmel, IN 46032-4656

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

801 N State St
Greenfield, IN 46140-1270
Phone (317) 871-8261

Other identifiers 2

IdentifierTypeStateIssuer
200984890MedicaidIN
M400046207OtherINMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wwoodardII@direct.iuhealth.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000469 IN Practitioner - Anesthesiology 4880870054 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Anesthesia Group, LLC Anesthesiology CurrentSince Oct 24, 2011 Accepting new patients
Johnson Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Jebs Anesthesia Consultants, LLC Anesthesiology CurrentSince Sep 6, 2024 Accepting new patients
Johnson Memorial Hospital Current Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Oct 17, 2022 Accepting new patients
Community Anesthesia Associates, PC Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Aas Indiana LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Johnson Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8830 S Meridian St
Indianapolis, IN 46217
Phone (317) 865-5029

6850 Parkdale Pl
Indianapolis, IN 46254
Phone (317) 329-7209

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

9660 E Washington St
Ste 200
Indianapolis, IN 46229
Phone (317) 329-7203

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

Interoperability endpoints

  • Direct secure messaging: wwoodardii@direct.iuhealth.org

Organizations & group practices 9

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1144497090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460324656",
            "telephone_number": "317-577-4200",
            "fax_number": "317-577-9203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N State St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401270",
            "country_code": "US",
            "telephone_number": "317-871-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "WAYNE",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01067817A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200984890",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M400046207",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwoodardII@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11700 N Meridian St",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460324656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.