Individual provider Active NPI

Michelle Therese Gilliatte, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1184078909
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01080629A Issued in IN
Practice address
8901 River Crossing Blvd Ste a
Indianapolis, IN 46240-3985
Phone
(317) 455-8540
Fax
(317) 455-8548
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) Physician 207QB0002X 01080629A IN
Family Medicine Physician 207Q00000X 01080629A IN Primary

Addresses

Primary practice location

8901 River Crossing Blvd Ste a
Indianapolis, IN 46240-3985

Mailing address

7535 Edgewater Dr
Indianapolis, IN 46240-3064
Phone (317) 379-4465

Other practice location 1

9780 Lantern Rd Ste 360
Fishers, IN 46037-4093
Phone (317) 455-8540

Other identifiers 1

IdentifierTypeStateIssuer
70031767OtherAMERICAN BOARD OF OBESITY MEDICINE ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwelsh184220@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 15, 2025 through Oct 15, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080629AINMDObesity Medicine (Family Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: mwelsh184220@ecommunitydirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1184078909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 EDGEWATER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403064",
            "telephone_number": "317-379-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 RIVER CROSSING BLVD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403985",
            "telephone_number": "317-455-8540",
            "fax_number": "317-455-8548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9780 Lantern Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460374093",
            "country_code": "US",
            "telephone_number": "317-455-8540",
            "fax_number": "317-455-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLIATTE",
        "first_name": "MICHELLE",
        "middle_name": "THERESE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IN",
            "license": "01080629A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01080629A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF OBESITY MEDICINE ID",
            "identifier": "70031767",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwelsh184220@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "1515 S 19th St",
            "city": "Elwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460362941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.