Individual provider Active NPI

Malynda Suzanne Wynn, MD

  • Orthopaedic Trauma Physician
  • Indianapolis, IN
National Provider Identifier
1164914834
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
01090037A Issued in IN
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

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264430H73OtherINMEDICARE PTAN
300075533MedicaidIN

Other names 1

  • Malynda Suzanne Messer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000004 NC Practitioner - Orthopedic Surgery 0840546693 Reassigns benefits to 2 organizations

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
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

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 Home health agency, Charlotte, NC, CCN 347254
  • Gentiva Health Services/Salisb Home health agency, Kannapolis, NC, CCN 347170
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11213IAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Orthopaedic Surgery Current Accepting new patients
Carolinas Medical Center CurrentSince Sep 21, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center Orthopaedic Surgery CurrentSince Sep 21, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 21, 2024 Accepting new patients
Carolinas Physicians Network Inc Orthopaedic Surgery CurrentSince Sep 21, 2024 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

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

Hospital & facility affiliations 12

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": "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

Verify at the official NPI Registry.