Individual provider Active NPI

Charles William Tolan, DO

  • Emergency Medicine Physician
  • Greenwood, IN
National Provider Identifier
1235246158
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02002869A Issued in IN
Practice address
1001 N Madison Ave
Greenwood, IN 46142-4135
Phone
(317) 528-7500
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02002869A IN Primary

Addresses

Primary practice location

1001 N Madison Ave
Greenwood, IN 46142-4135

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

996 S State Road 135
Greenwood, IN 46143-7365
Phone (317) 893-3888

Other practice location 2

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-3139

Other identifiers 1

IdentifierTypeStateIssuer
200531690MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CTOLAN@IUHEALTH.ORG

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
I20051005000125 IN Practitioner - Emergency Medicine 4082676598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians
Indiana University Health Urgent Care Centers LLCGroup PAC ID 0042526063, 93 clinicians

Practice addresses (Care Compare)

9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760

996 S State Rd
135 Suite P
Greenwood, IN 46143-7366
Phone (317) 893-3888

Hospital & facility affiliations

  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02002869AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Nov 1, 2011 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Oct 20, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Indiana University Health Urgent Care Centers, LLC. Current Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Oct 20, 2015 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Russell Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Indiana University Health Urgent Care Centers, LLC PastSince Jan 14, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5208 Reliable Pkwy
Chicago, IL 60686

1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000

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

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888

996 S State Road 135
Greenwood, IN 46143
Phone (317) 893-3888

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: ctolan@direct.iuhealth.org
  • Direct secure messaging: ctolan@iuhealth.org

Organizations & group practices 12

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 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1235246158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424135",
            "telephone_number": "317-528-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 S State Road 135",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461437365",
            "country_code": "US",
            "telephone_number": "317-893-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "46032",
            "country_code": "US",
            "telephone_number": "317-688-3139",
            "fax_number": "317-688-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLAN",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02002869A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200531690",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CTOLAN@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "996 S State Road 135",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461437365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.