Individual provider Active NPI

Matthew J Nelsen, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1174500409
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01048610 Issued in IN
Practice address
8330 Naab Rd Ste 340
Indianapolis, IN 46260-2279
Phone
(317) 415-6230
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01048610A IN
Internal Medicine Physician 207R00000X 01048610 IN Primary

Addresses

Primary practice location

8330 Naab Rd Ste 340
Indianapolis, IN 46260-2279

Mailing address

8330 Naab Rd Ste 340
Indianapolis, IN 46260-2279

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.nelsen.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20040501000483 IN Practitioner - Internal Medicine 8325036122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8330 Naab Rd
Suite 340
Indianapolis, IN 46260-2279
Phone (317) 415-6500

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048610INMDInternal Medicine Physician
01048610AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Apr 1, 2015 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jun 10, 2010 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Jun 10, 2010 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Major Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

1030 S Scatterfield Rd
Anderson, IN 46012
Phone (765) 644-5025

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

1664 W Smith Valley Rd
Greenwood, IN 46142
Phone (317) 887-7640

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

8333 Naab Rd
Ste 335
Indianapolis, IN 46260
Phone (317) 338-5066

8177 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-7800

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

9240 N Meridian St
Ste 160
Indianapolis, IN 46260
Phone (317) 338-5050

8333 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-3103

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1703 N Post Rd
Indianapolis, IN 46219
Phone (317) 355-3200

8330 Naab Rd
Ste 340
Indianapolis, IN 46260
Phone (317) 338-5100

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

9669 E 146th St
Ste 100
Noblesville, IN 46060
Phone (317) 621-3434

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Organizations & group practices 7

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 8

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1174500409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD STE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602279",
            "telephone_number": "317-415-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01048610A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.nelsen.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8330 Naab Rd Ste 340",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.