James T Blackwell, MD
Individual provider Active NPI Pediatrics Physician · Indianapolis, IN
NPI 1215023932 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1215023932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 01062444A (IN)
- Practice address
- 5515 W 38TH St
Indianapolis, IN 46254-2919 - Phone
- (317) 880-8211
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070308000575 | IN | Practitioner - Pediatric Medicine | 3779686910 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current |
Accepting new patients | |
| Eskenazi Medical Group Inc | Pediatrics | Current |
Accepting new patients |
| Eskenazi Medical Group Inc | Current |
Accepting new patients |
Locations
720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838
720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000
2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600
Interoperability endpoints
- jblackwell15072@direct.eskenazihealth.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01062444A | IN | Yes |
Addresses
Primary practice location
5515 W 38TH St
Indianapolis, IN 46254-2919
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000490564 | Other | IN | ANTHEM |
| 200829660 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jblackwell15072@direct.eskenazihealth.edu |
Other providers in Indianapolis, IN
- Tracey Blackmore
- Lynda Lawrence Blackwelder
- Brylee Christina Blackwell
- David Michael Blackwell II
- Erika Blackwell
- Kimberly Suzzane Blackwell
- Glenn A Blackwood
- Mary E Blaha
- James J Blahunka
- Barbara P Blain
All providers in Indianapolis, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.