Individual provider Active NPI

Michael W Myers, M.D.

  • Otolaryngology Physician
  • Avon, IN
National Provider Identifier
1255498663
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01042445A Issued in IN
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

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040006649OtherINMEDICARE RAILROAD
100119180MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000423 IN Practitioner - Otolaryngology 2961446554 Reassigns benefits to 2 organizations

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
Otolaryngology Associates LLCGroup PAC ID 7810931409, 45 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

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 100Reported as individual
Quality
20
Promoting interoperability
0
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 1, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Nov 1, 2024 Accepting new patients
Otolaryngology Associates, LLC Otolaryngology CurrentSince Jan 1, 1996 Accepting new patients
Otolaryngology Associates LLC Otolaryngology Past Accepting new patients
Major Hospital Past Accepting new patients
Otolaryngology Associates LLC Otolaryngology PastSince Jun 22, 2021 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

  • Direct secure messaging: mmyers@oa2046.srs-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.