Active NPI
Tyler Voegtline, M.D.
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
National Provider Identifier
1184074700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 11018924A
- Practice address
- 355 W 16TH St
#2364
Indianapolis, IN 46202-2207 - Phone
- (317) 963-7307
- NPI assigned
- Jun 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018924A | IN | Primary |
Addresses
Primary practice location
355 W 16TH St
#2364
Indianapolis, IN 46202-2207
Mailing address
355 W 16TH St
#2364
Indianapolis, IN 46202-2207
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018924A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
1098 S State Road 25
Logansport, IN 46947
Phone (574) 722-4141
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.
-
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
-
- Intellectual Disabilities Intermediate Care Facility
- Logansport, IN
- NPI 1861511370
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1184074700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 W 16TH ST",
"address_2": "#2364",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W 16TH ST",
"address_2": "#2364",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462022207",
"telephone_number": "317-963-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOEGTLINE",
"first_name": "TYLER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018924A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 14, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.