Active NPI
James Leroy Springer, MD
- Family Medicine Physician
- Shelbyville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01065737A
- Practice address
- 104 Foxborough Run
Shelbyville, IN 46176 - Phone
- (317) 512-2711
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17476 | OR | |
| Family Medicine Physician | 207Q00000X | 01065737A | IN | Primary |
Addresses
Primary practice location
104 Foxborough Run
Shelbyville, IN 46176
Mailing address
104 Foxborough Run
Shelbyville, IN 46176-2879
Other practice location 1
8177 Clearvista Pkwy
Indianapolis, IN 46256-1662
Phone (317) 621-7801
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032073 | Medicaid | OR | |
| 1407812365 | Other | OR | NBMC GROUP NPI NUMBER |
| P00143357 | Other | OR | RR MEDICARE PTAN NUMBER |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 201195760 | Medicaid | IN | |
| CB3544 | Other | OR | RR MEDICARE GROUP NUMBER |
| P01307618 | Other | IN | MEDICARE RR PTAN |
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 |
|---|---|---|---|
| 01065737A | IN | MD | Family Medicine Physician |
| MD17476 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Multispecialty Associates | Current | Accepting new patients | |
| Major Multispecialty Associates | Family Medicine | Current | Accepting new patients |
| North Bend Medical Center Inc | Past | Accepting new patients |
Locations
1626 E State Road 44
Ste A
Shelbyville, IN 46176
Phone (317) 421-2012
2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914
30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121
30 W Rampart St
Ste 250
Shelbyville, IN 46176
Phone (317) 398-7337
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Shelbyville, IN
- NPI 1437398492
Family Medicine
-
- Orthopaedic Surgery Physician
- Shelbyville, IN
- NPI 1245405869
-
- Clinical Medical Laboratory
- Coos Bay, OR
- NPI 1760404396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1194701359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 FOXBOROUGH RUN",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461762879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FOXBOROUGH RUN",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "46176",
"telephone_number": "317-512-2711"
}
],
"practiceLocations": [
{
"address_1": "8177 Clearvista Pkwy",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462561662",
"country_code": "US",
"telephone_number": "317-621-7801",
"fax_number": "317-621-7205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRINGER",
"first_name": "JAMES",
"middle_name": "LEROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD17476",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01065737A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "032073",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC GROUP NPI NUMBER",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN NUMBER",
"identifier": "P00143357",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201195760",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP NUMBER",
"identifier": "CB3544",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PTAN",
"identifier": "P01307618",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.