Individual provider Active NPI

Brian J Ulmer, MD

  • Internal Medicine Physician
  • Carmel, IN
National Provider Identifier
1184657918
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01062258A Issued in IN
Practice address
11911 N Meridian St Ste 125
Carmel, IN 46032-6904
Phone
(317) 621-1006
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01062258A IN Primary

Addresses

Primary practice location

11911 N Meridian St Ste 125
Carmel, IN 46032-6904

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547

Other practice location 1

8424 Naab Rd Ste 1E
Indianapolis, IN 46260-1954
Phone (317) 338-2349

Other identifiers 1

IdentifierTypeStateIssuer
200857570MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.ulmer.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
I20070416000094 IN Practitioner - Internal Medicine 7012012305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

11911 N Meridian St
Suite 125
Carmel, IN 46032-6904
Phone (317) 621-4044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Sep 29, 2014 Accepting new patients
St. Vincent Medical Group, Inc. Internal Medicine CurrentSince Sep 29, 2014 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Sep 16, 2024 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Respiratory & Critical Care Consultants P C Internal Medicine Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

11911 N Meridian St
Ste 125
Carmel, IN 46032
Phone (317) 621-4044

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

2010 W 86th St
Ste 111
Indianapolis, IN 46260
Phone (317) 415-6580

8424 Naab Rd
Ste 1B
Indianapolis, IN 46260
Phone (317) 338-7431

8424 Naab Rd
Ste 1E
Indianapolis, IN 46260
Phone (317) 338-2349

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

8424 Naab Rd
Bldg 1
Indianapolis, IN 46260
Phone (317) 338-7431

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1184657918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 N MERIDIAN ST STE 125",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460326904",
            "telephone_number": "317-621-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8424 Naab Rd Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601954",
            "country_code": "US",
            "telephone_number": "317-338-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01062258A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200857570",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.ulmer.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "8424 Naab Rd Ste 1E",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.