Individual provider Active NPI

Melissa Kimberly Elrod, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1194086306
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003725A Issued in IN
Practice address
3403 E Raymond St Ste a
Indianapolis, IN 46203-4783
Phone
(317) 957-2070
Fax
(317) 489-6910
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003725A IN Primary

Addresses

Primary practice location

3403 E Raymond St Ste a
Indianapolis, IN 46203-4783

Mailing address

3403 E Raymond St
Indianapolis, IN 46203-4782
Phone (317) 957-2100

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120710000683 IN Practitioner - Optometry 7315102712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003725AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet, Inc. CurrentSince Aug 18, 2018 Accepting new patients

Locations

2340 E 10th St
Indianapolis, IN 46201
Phone (317) 633-7360

1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769

1801 Senate Blvd
Ste 310
Indianapolis, IN 46202
Phone (317) 957-2070

3403 E Raymond St
Ste A
Indianapolis, IN 46203
Phone (317) 957-2070

901 Shelby St
Indianapolis, IN 46203
Phone (317) 488-2040

3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000

3401 E Raymond St
#0
Indianapolis, IN 46203

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

2855 N Keystone Ave
Ste 100
Indianapolis, IN 46218
Phone (317) 920-5760

6020 Crawfordsville Rd
Ste 102
Speedway, IN 46224
Phone (317) 957-2070

Interoperability endpoints

  • Direct secure messaging: melissa.elrod@hn.eclinicaldirectplus.com

Organizations & group practices 1

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1194086306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034782",
            "telephone_number": "317-957-2100",
            "fax_number": "317-957-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034783",
            "telephone_number": "317-957-2070",
            "fax_number": "317-489-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD",
        "first_name": "MELISSA",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003725A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.