Individual provider Active NPI

Megan Lynn Pentecost, CCC-SLP

  • Speech-Language Pathologist
  • Carmel, IN
National Provider Identifier
1265144562
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22008123A Issued in IN
Practice address
11725 Illinois St Ste 445
Carmel, IN 46032-3010
Phone
(317) 844-7059
Fax
(317) 819-0044
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 22008123A IN Primary

Addresses

Primary practice location

11725 Illinois St Ste 445
Carmel, IN 46032-3010

Mailing address

9002 N Meridian St Ste 222
Indianapolis, IN 46260-5350
Phone (317) 844-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223002719 IN Practitioner - Qualified Speech Language Pathologist 1456724384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Associates, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

11725 Illinois St
Ste 445
Carmel, IN 46032
Phone (317) 573-4370

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

9002 N Meridian St
Ste 222
Indianapolis, IN 46260
Phone (317) 573-4370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1265144562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9002 N MERIDIAN ST STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605350",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ILLINOIS ST STE 445",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323010",
            "telephone_number": "317-844-7059",
            "fax_number": "317-819-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTECOST",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22008123A",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.