Active NPI
Michael W Myers, M.D.
- Otolaryngology Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01042445A
- Practice address
- 1115 Ronald Reagan Pkwy
Suite 255
Avon, IN 46123-6913 - Phone
- (317) 844-7059
- Fax
- (317) 819-0044
- NPI assigned
- Jan 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01042445A | IN | Primary |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy
Suite 255
Avon, IN 46123-6913
Mailing address
10201 N Illinois St Ste 110
Carmel, IN 46290-1172
Phone (317) 819-4516
Other practice location 1
8040 Clearvista Pkwy Ste 350
Indianapolis, IN 46256-4673
Phone (317) 844-7059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040006649 | Other | IN | MEDICARE RAILROAD |
| 100119180 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MMYERS@OA2046.SRS-DIRECT.COM | Direct | Otolaryngology Associates, LLC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Michigan Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial SQ
Suite 230
Greenfield, IN 46140-1381
Phone (317) 844-7059
1115 Ronald Reagan Pkwy
Suite 255
Avon, IN 46123-6913
Phone (317) 844-7059
12065 Old Meridian St
Suite 205
Carmel, IN 46032-8777
Phone (317) 844-7059
13100 E 136TH St
Suite 1200
Fishers, IN 46037-9418
Phone (317) 844-7059
5255 E Stop 11 Rd
Indianapolis, IN 46237-6341
Phone (317) 844-7059
8040 Clearvista Pkwy
Suite 350
Indianapolis, IN 46256-4673
Phone (317) 844-7059
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.25 of 100
- Quality
- 20
- Promoting interoperability
- 0
- Improvement activities
- 30
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Otolaryngology Associates, LLC | Otolaryngology | Current | Accepting new patients |
| Otolaryngology Associates LLC | Otolaryngology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Otolaryngology Associates LLC | Otolaryngology | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1115 Ronald Reagan Pkwy
Ste 255
Avon, IN 46123
Phone (317) 217-2255
10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825
13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370
1 Memorial Sq
Ste 230
Greenfield, IN 46140
9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8040 Clearvista Pkwy
Ste 350
Indianapolis, IN 46256
8040 Clearvista Pkwy
Ste 150
Indianapolis, IN 46256
Phone (317) 621-2000
9002 N Meridian St
Ste 214
Indianapolis, IN 46260
Phone (317) 208-3813
Interoperability endpoints
- mmyers@oa2046.srs-direct.com
- https://fhir4.healow.com/fhir/r4/IEEADA
- mmyers30220@ecommunitydirect.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1447398839
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Otolaryngology Physician
- Avon, IN
- NPI 1023130333
-
- Otolaryngology Physician
- Greenfield, IN
- NPI 1841312402
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Greenfield, IN
- NPI 1467485003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1255498663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 N ILLINOIS ST STE 110",
"city": "CARMEL",
"state": "IN",
"postal_code": "462901172",
"telephone_number": "317-819-4516",
"fax_number": "317-819-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "SUITE 255",
"city": "AVON",
"state": "IN",
"postal_code": "461236913",
"telephone_number": "317-844-7059",
"fax_number": "317-819-0044"
}
],
"practiceLocations": [
{
"address_1": "8040 Clearvista Pkwy Ste 350",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462564673",
"country_code": "US",
"telephone_number": "317-844-7059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01042445A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "040006649",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119180",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MMYERS@OA2046.SRS-DIRECT.COM",
"affiliation": "Y",
"affiliationName": "Otolaryngology Associates, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9002 North Meridian Street",
"address_2": "Suite 222",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462605350",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.