NPIMap

Individual provider Active NPI

Stephen F Eberwine, M.D.

  • Hematology & Oncology Physician
  • Franklin, IN
National Provider Identifier
1285603886
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01048917A Issued in IN
Practice address
1159 W Jefferson St Ste 102
Franklin, IN 46131-2795
Phone
(317) 736-6334
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 01048917A IN Primary

Addresses

Primary practice location

1159 W Jefferson St Ste 102
Franklin, IN 46131-2795

Mailing address

1159 W Jefferson St Ste 102
Franklin, IN 46131-2795
Phone (317) 736-6334

Other identifiers 1

IdentifierTypeStateIssuer
200248560MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephen.eberwinemd.p36@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000777 IN Practitioner - Hematology 1254228216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
University of Cincinnati College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial HospitalGroup PAC ID 8527972595, 39 clinicians

Practice addresses (Care Compare)

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 346-3858

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001
  • Franciscan Health Indianapolis Hospital, Indianapolis, IN, CCN 150162
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital CurrentSince May 1, 2016 Accepting new patients
Johnson Memorial Hospital CurrentSince May 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Southside Emergency Associates Past Accepting new patients
Johnson Memorial Hospital Past Accepting new patients

Locations

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1159 W Jefferson St
Ste 102
Franklin, IN 46131
Phone (317) 346-3858

Interoperability endpoints

  • Direct secure messaging: stephen.eberwinemd.p36@direct.ahni.nextgenshare.com

Organizations & group practices 5

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 6

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1285603886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 W JEFFERSON ST STE 102",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312795",
            "telephone_number": "317-736-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 W JEFFERSON ST STE 102",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461312795",
            "telephone_number": "317-736-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERWINE",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01048917A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248560",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephen.eberwinemd.p36@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "1159 W Jefferson St Ste 102",
            "city": "Franklin",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461312795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.