Individual provider Active NPI

Ted J Westlund, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1275874497
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000142A Issued in IN
Practice address
8805 N Meridian St
Indianapolis, IN 46260-2760
Phone
(317) 706-7246
Fax
(317) 706-3419
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000142A IN Primary

Addresses

Primary practice location

8805 N Meridian St
Indianapolis, IN 46260-2760

Mailing address

8805 N Meridian St
Indianapolis, IN 46260-2760
Phone (317) 706-7246

Other identifiers 1

IdentifierTypeStateIssuer
10000142AOtherINSTATE LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920001064 IN Practitioner - Physician Assistant 5698743417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000142AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Sep 13, 2013 Accepting new patients
Shadeland Anesthesia & Pain Associates Inc. CurrentSince Sep 13, 2013 Accepting new patients
Major Hospital Past Accepting new patients

Locations

4425 Reliable Pkwy
Chicago, IL 60686

29943 Network Pl
Chicago, IL 60673

97 Dover St
Ste 100
Avon, IN 46123

7950 Ortho Ln
Brownsburg, IN 46112
Phone (317) 268-3600

11595 N Meridian St
Ste 402
Carmel, IN 46032

533 E County Line Rd
Ste 201A
Greenwood, IN 46143
Phone 3177067246309

8805 N Meridian St
Indianapolis, IN 46260
Phone 3177067246109

1 American Sq
Ste 165
Indianapolis, IN 46282
Phone (317) 955-3988

3559 Newton St
Jasper, IN 47546
Phone (812) 437-7246

2302 S Dixon Rd
Ste 150
Kokomo, IN 46902
Phone (317) 453-1205

3738 Landmark Dr
Ste A
Lafayette, IN 47905
Phone (765) 807-2780

3750 Landmark Dr
Lafayette, IN 47905
Phone (765) 807-2780

107 N 2nd St
Rockport, IN 47635
Phone (812) 437-7246

Interoperability endpoints

  • Direct secure messaging: tedwestlund@cfpm.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1275874497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602760",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602760",
            "telephone_number": "317-706-7246",
            "fax_number": "317-706-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLUND",
        "first_name": "TED",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000142A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10000142A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.