Individual provider Active NPI

Joseph M Buadoo-Croffie, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1164538690
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
01039023 Issued in IN
Practice address
705 Riley Hospital Dr
Roc 4210
Indianapolis, IN 46202-5109
Phone
(317) 944-3774
Fax
(317) 944-8521
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 01039023 IN Primary

Addresses

Primary practice location

705 Riley Hospital Dr
Roc 4210
Indianapolis, IN 46202-5109

Mailing address

PO Box 719094
Chicago, IL 60677-9318
Phone (317) 777-6435

Other identifiers 4

IdentifierTypeStateIssuer
100387250MedicaidIN
64879851MedicaidKY
000000321534OtherANTHEM-DEAC-350593390
350593390-042OtherTRICARE-DEAC-350593390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcroffie@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615000617 IN Practitioner - GastroenterologyPractitioner - Pediatric Medicine 7719961085 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Associates, Inc. CurrentSince Aug 29, 2005 Accepting new patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 10, 2026 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Major Hospital Past Accepting new patients
Deaconess Hospital Inc Past Accepting new patients
Parkview Hospital, Inc. Past Accepting new patients

Locations

11725 Illinois St
Ste 450
Carmel, IN 46032
Phone (317) 688-5700

11725 Illinois St
Ste 240
Carmel, IN 46032
Phone (317) 814-4590

11725 Illinois St
Ste 520
Carmel, IN 46032
Phone (317) 688-5189

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

705 Riley Hospital Dr
#4210
Indianapolis, IN 46202
Phone (317) 944-3774

702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

702 Barnhill Dr
Rm 4210
Indianapolis, IN 46202

575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966

Organizations & group practices 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1164538690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719094",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606779318",
            "telephone_number": "317-777-6435",
            "fax_number": "317-777-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 RILEY HOSPITAL DR",
            "address_2": "ROC 4210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025109",
            "telephone_number": "317-944-3774",
            "fax_number": "317-944-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUADOO-CROFFIE",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IN",
            "license": "01039023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387250",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64879851",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-DEAC-350593390",
            "identifier": "000000321534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE-DEAC-350593390",
            "identifier": "350593390-042",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcroffie@direct.iuhealth.org",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "address_1": "705 Riley Hospital Dr",
            "address_2": "ROC 4210",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.