Active NPI
Malynda Suzanne Wynn, MD
- Orthopaedic Trauma Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 01090037A
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 944-9400
- Fax
- (317) 963-1955
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01090037A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | R-11213 | IA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | R-11213 | IA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | R-11213 | IA | |
| Orthopaedic Trauma Physician | 207XX0801X | R-11213 | IA | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | R-11213 | IA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | R-11213 | IA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | R-11213 | IA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | R-11213 | IA | |
| Orthopaedic Trauma Physician | 207XX0801X | 01090037A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1801 N Senate Blvd Ste 535
Indianapolis, IN 46202-1204
Phone (804) 389-1025
Other practice location 2
200 Hawkins Dr Dept Of
Iowa City, IA 52242-1009
Phone (319) 356-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264430H73 | Other | IN | MEDICARE PTAN |
| 300075533 | Medicaid | IN |
Other names 1
- Malynda Suzanne Messer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwynn@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Cincinnati College of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
200 Medical Park Dr
Suite 500
Concord, NC 28025-0946
Phone (704) 403-4980
2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800
6604 Roberta Rd
Harrisburg, NC 28075-9532
Phone (419) 221-6717
Hospital & facility affiliations
- Atrium Health at Home University City
- Gentiva Health Services/Salisb
- Carolinas Medical Center-Northeast
- Stanly Regional Medical Center
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11213 | IA | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Orthopaedic Surgery | Current | Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1801 Senate Blvd
Ste 535
Indianapolis, IN 46202
Phone (317) 963-1950
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
200 Medical Park Dr
Ste 500
Concord, NC 28025
Phone (704) 403-1307
Interoperability endpoints
- mwynn@direct.iuhealth.org
- mwynn2907720@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 10
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Orthopaedic Surgery
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Orthopaedic Surgery Physician
- Concord, NC
- NPI 1679183776
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albemarle, NC
- NPI 1104627926
-
- Psychiatric Hospital Unit
- Albemarle, NC
- NPI 1740081553
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- Home Health Agency
- Charlotte, NC
- NPI 1780046110
-
- Home Health Agency
- Kannapolis, NC
- NPI 1720010010
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700611200000",
"number": "1164914834",
"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": "1701 N SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-944-9400",
"fax_number": "317-963-1955"
}
],
"practiceLocations": [
{
"address_1": "1801 N Senate Blvd Ste 535",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021204",
"country_code": "US",
"telephone_number": "804-389-1025",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr Dept Of",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2223",
"fax_number": "319-353-6754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYNN",
"first_name": "MALYNDA",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2023-11-22",
"certification_date": "2023-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01090037A",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "IA",
"license": "R-11213",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "IN",
"license": "01090037A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "264430H73",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300075533",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwynn@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MALYNDA",
"last_name": "MESSER",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.