David M Stopperich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01058320A Issued in IN

Practice address

1045 Wyatt Way
Lizton, IN 46149-9583

Phone

(317) 994-6600

Fax

(317) 994-6605

NPI assigned

Jan 4, 2006

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

Indiana University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
• Hendricks Regional Health Hospital, Danville, IN, CCN 150005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

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.

• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  Medicare reassignment Care Compare group NPD
• Hendricks County Hospital

  dba Hendricks Pediatrics of Brownsburg

  • Pediatrics Physician
  • Brownsburg, IN
  • NPI 1508758210
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Plainfield, IN
  • NPI 1861536930
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Diabetes Health

  • Pediatric Endocrinology Physician
  • Danville, IN
  • NPI 1891896247
  NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)
• Hendricks County Hospital

  dba Avon Family Health

  • Family Medicine Physician
  • Avon, IN
  • NPI 1598993784
  NPD (past)
• Hendricks County Hospital

  dba Hendricks Endocrinology and Diabetes Specialist

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, IN
  • NPI 1649432444
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Southside Emergency Associates

  • Personal Emergency Response Attendant
  • Indianapolis, IN
  • NPI 1053366922
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendricks County Hospital

  • General Acute Care Hospital
  • Danville, IN
  • NPI 1669475950
  Care Compare affiliation
• Suburban Home Health, LLC

  • Home Health Agency
  • Noblesville, IN
  • NPI 1598872939
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1265410906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1370",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-837-5571",
            "fax_number": "317-837-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WYATT WAY",
            "city": "LIZTON",
            "state": "IN",
            "postal_code": "461499583",
            "telephone_number": "317-994-6600",
            "fax_number": "317-994-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOPPERICH",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058320A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100133310A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstopperich228386@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1045 Wyatt Way",
            "city": "Lizton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461499583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lizton Union Township Hendricks County Indiana Volunteer Fire Dept
• Sarah Irene Luken, LAT, ATC
• Kenneth Mitchum Maynard, D.O.
• North West Hendricks School Corporation
• Rebecca Lynn Saylor, ATC-L
• Joellen Withey
• Workplace Health Services, LLC (IU Health Workplace Services)

• Family Medicine Physician in Lizton, IN
• Providers in Lizton, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.

Verify at the official NPI Registry.