Individual provider Active NPI

Cynthia L Wills, M.D.

  • Family Medicine Physician
  • Danville, IN
National Provider Identifier
1225027204
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01033836A Issued in IN
Practice address
202 Meadow Dr
Danville, IN 46122-1416
Phone
(317) 745-7759
Fax
(317) 745-0825
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01033836A IN Primary

Addresses

Primary practice location

202 Meadow Dr
Danville, IN 46122-1416

Mailing address

202 Meadow Dr
Danville, IN 46122-1416
Phone (317) 745-7759

Other identifiers 1

IdentifierTypeStateIssuer
100133680AMedicaidIN

Other names 1

  • Miss Cynthia L Kirsch Former name

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
I20070927000541 IN Practitioner - Family Practice 3779678396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

99 Meadow Dr
Suite 2
Danville, IN 46122-1411
Phone (317) 745-7759

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia L Wills MD PC Family Medicine CurrentSince Sep 20, 2006 Accepting new patients
Major Hospital Past Accepting new patients

Locations

99 Meadow Dr
#2
Danville, IN 46122
Phone (317) 745-7759

202 Meadow Dr
Danville, IN 46122
Phone (317) 745-7759

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1225027204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-745-7759",
            "fax_number": "317-745-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEADOW DR",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221416",
            "telephone_number": "317-745-7759",
            "fax_number": "317-745-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01033836A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KIRSCH",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, IN

Sources for this page

Verify at the official NPI Registry.