Stephanie J Kinnaman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01054803 Issued in IN

Practice address

300 E Boyd Ave
Suite 100
Greenfield, IN 46140-2816

Phone

(317) 462-5252

Fax

(317) 462-8010

NPI assigned

Oct 3, 2006

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: stephanie.kinnaman@74938637221892.direct.elationemr.com
• Direct secure messaging: stephanie.kinnamanmd.p3@direct.ahni.nextgenshare.com

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.

• Emergency Physicians of Indianapolis, PC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1770538340
  NPD (past)
• Major Hospital

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

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1275627523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E. BOYD AVENUE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402816",
            "telephone_number": "317-462-5252",
            "fax_number": "317-462-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNAMAN",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200285060",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.kinnamanmd.p3@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "300 E Boyd Ave",
            "address_2": "Suite 100",
            "city": "Greenfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461402816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Theresa Kidd
• Ana Michelle Kiely, WHNP-BC
• Jason R Kimble
• Barbara Ann Kindler, M.A., CCC/SLP
• Kelli Kingen
• Brian Lee Kirkwood, D.D.S
• Trent Kirkwood, DDS
• Jackson Kisor
• Michelle Rebecca Kitsis, MD
• Spencer Levi Klimek, PA-C

• Family Medicine Physician in Greenfield, IN
• Providers in Greenfield, 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 23, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.