Active NPI
Christen M Prible, M.D.
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01069709A
- Practice address
- 1522 W Morris St
Indianapolis, IN 46221-1629 - Phone
- (317) 488-2020
- Fax
- (317) 488-2031
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11013803A | IN | |
| Internal Medicine Physician | 207R00000X | 01069709A | IN | Primary |
| Pediatrics Physician | 208000000X | 01069709A | IN |
Addresses
Primary practice location
1522 W Morris St
Indianapolis, IN 46221-1629
Mailing address
3401 E Raymond St
Indianapolis, IN 46203-4744
Phone (317) 788-9769
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Indiana University School of Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Healthnet Triage OB/GYN Services
Indianapolis, IN 46202-1239
Phone (317) 962-8909
2855 N Keystone Ave
Suite 120
Indianapolis, IN 46218-2790
Hospital & facility affiliations
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069709A | IN | MD | Pediatrics Physician |
| 11013803A | IN | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthnet, Inc. | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218
3401 E Raymond St
#0
Indianapolis, IN 46203
3403 E Raymond St
Indianapolis, IN 46203
Phone (317) 957-2000
3401 E Raymond St
Indianapolis, IN 46203
Phone (317) 788-9769
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1522 W Morris St
Indianapolis, IN 46221
Phone (317) 957-2500
Interoperability endpoints
- christen.prible@hn.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1780634964
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1285830380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 E RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462034744",
"telephone_number": "317-788-9769",
"fax_number": "317-781-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 W MORRIS ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462211629",
"telephone_number": "317-488-2020",
"fax_number": "317-488-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBLE",
"first_name": "CHRISTEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11013803A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01069709A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01069709A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.