Individual provider Active NPI

Dipen Champaklal Maun, M.D.

  • Colon & Rectal Surgery Physician
  • Mooresville, IN
National Provider Identifier
1154547420
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
01063299A Issued in IN
Practice address
1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907
Phone
(317) 834-2020
Fax
(317) 831-9467
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 01063299A IN Primary

Addresses

Primary practice location

1215 Hadley Rd Ste 201
Mooresville, IN 46158-2907

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 1

IdentifierTypeStateIssuer
01063299AOtherINPHYSICIAN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmaun7651@Direct.FranciscanAlliance.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
I20070622000431 IN Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3577662105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1201 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 781-7381

1205 E Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 831-9469

1205 Hadley Rd
Mooresville, IN 46158-1737
Phone (317) 781-7391

1215 Hadley Rd
Mooresville, IN 46158-2905

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904

1701 S Creasy Lane
Lafayette, IN 47905-4972
Phone (765) 502-4000

1701 S Creasy LN
Lafayette, IN 47905-4972

1704 Lafayette Rd
Crawfordsville, IN 47933-1071

5255 E Stop 11 Rd
Indianapolis, IN 46237-6341

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Hospital & facility affiliations

  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057
  • Franciscan Health Lafayette Hospital, Lafayette, IN, CCN 150109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jan 1, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Jan 1, 2012 Accepting new patients
Kendrick Regional Center for Colon and Rectal Care Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860

5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920

5255 E Stop 11 Rd
Ste 250
Indianapolis, IN 46237
Phone (317) 528-2270

1215 Hadley Rd
Ste 201
Mooresville, IN 46158
Phone (317) 834-2020

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: dmaun7651@direct.franciscanalliance.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1154547420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HADLEY RD STE 201",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461582907",
            "telephone_number": "317-834-2020",
            "fax_number": "317-831-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUN",
        "first_name": "DIPEN",
        "middle_name": "CHAMPAKLAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IN",
            "license": "01063299A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "01063299A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmaun7651@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1215 Hadley Rd",
            "address_2": "Suite 201",
            "city": "Mooresville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461582905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

Verify at the official NPI Registry.