Active NPI
Jeffrey A Wheeler, M.D.
- Pediatrics Physician
- Fishers, IN
National Provider Identifier
1255375218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01039503
- Practice address
- 13100 136TH Street
Suite 1200
Fishers, IN 46037-9748 - Phone
- (317) 678-3100
- Fax
- (317) 678-3108
- NPI assigned
- Jun 16, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01039503 | IN | |
| Pediatrics Physician | 208000000X | 01039503 | IN | Primary |
Addresses
Primary practice location
13100 136TH Street
Suite 1200
Fishers, IN 46037-9748
Mailing address
950 N Meridian St
Ste 500 Provider Enrollment
Indianapolis, IN 46204-3908
Phone (317) 962-4945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100464300 | Medicaid | IN |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Care Associates, Inc | Past | Accepting new patients | |
| Methodist Medical Group Physicians Inc | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
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.
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- NPI 1902032832
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1285673616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1255375218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N MERIDIAN ST",
"address_2": "STE 500 PROVIDER ENROLLMENT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462043908",
"telephone_number": "317-962-4945",
"fax_number": "317-962-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 136TH STREET",
"address_2": "SUITE 1200",
"city": "FISHERS",
"state": "IN",
"postal_code": "460379748",
"telephone_number": "317-678-3100",
"fax_number": "317-678-3108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01039503",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01039503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100464300",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.