Individual provider Active NPI

Joy Crovello, MD

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1255345120
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01041663A Issued in IN
Practice address
3903 Haverhill Dr
Indianapolis, IN 46240-3651
Phone
(317) 578-1215
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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 01041663A IN Primary

Addresses

Primary practice location

3903 Haverhill Dr
Indianapolis, IN 46240-3651

Mailing address

3903 Haverhill Dr
Indianapolis, IN 46240-3651
Phone (317) 578-1215

Other practice location 1

8202 Clearvista Pkwy
Suite 6B
Indianapolis, IN 46256-1442
Phone (317) 621-1670

Other identifiers 3

IdentifierTypeStateIssuer
000000320777OtherINANTHEM
200038740MedicaidIN
P01157326OtherINMEDICARE RR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcrovello10739@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Family Medicine PC Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcrovello10739@ecommunitydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1255345120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HAVERHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403651",
            "telephone_number": "317-578-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HAVERHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403651",
            "telephone_number": "317-578-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8202 Clearvista Pkwy",
            "address_2": "Suite 6B",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561442",
            "country_code": "US",
            "telephone_number": "317-621-1670",
            "fax_number": "317-621-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROVELLO",
        "first_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01041663A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000320777",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038740",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01157326",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcrovello10739@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "8202 Clearvista Pkwy",
            "address_2": "Suite 6B",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462561442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.