Active NPI
Richard D Zeph, M.D.
- Specialist
- Carmel, IN
National Provider Identifier
1255428868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01029850A
- Practice address
- 13590B N Meridian St
Suite 201
Carmel, IN 46032-1406 - Phone
- (317) 573-7887
- Fax
- (317) 573-7535
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01029850A | IN | Primary |
Addresses
Primary practice location
13590B N Meridian St
Suite 201
Carmel, IN 46032-1406
Mailing address
13590B N Meridian St
Suite 201
Carmel, IN 46032-1406
Phone (317) 573-7887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126470B | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070919000021 | IN | Practitioner - Plastic and Reconstructive Surgery | 0547354706 | Practice locations: Carmel, IN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01029850A | IN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1255428868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13590B N MERIDIAN ST",
"address_2": "SUITE 201",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321406",
"telephone_number": "317-573-7887",
"fax_number": "317-573-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13590B N MERIDIAN ST",
"address_2": "SUITE 201",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321406",
"telephone_number": "317-573-7887",
"fax_number": "317-573-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPH",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01029850A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126470B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.