Individual provider Active NPI

John Bartley, P.A.-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1285862508
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone
(317) 875-9105
Fax
(317) 872-6873
NPI assigned
Jun 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10001095A IN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8501 Harcourt Rd
Indianapolis, IN 46260-2046

Mailing address

8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone (317) 875-9105

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
I20090722000154 IN Practitioner - Physician Assistant 7719039742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

10801 N Michigan Rd
Zionsville, IN 46077-8171

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10001095AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Aug 11, 2019 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 11, 2019 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Community Hospitals of Indiana Inc Past Accepting new patients

Locations

13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

10801 N Michigan Rd
Ste 110
Zionsville, IN 46077
Phone (317) 344-1235

Interoperability endpoints

  • Direct secure messaging: john.bartley.2@7598.direct.athenahealth.com
  • Direct secure messaging: john.bartley.1@7598.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1285862508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-872-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602046",
            "telephone_number": "317-875-9105",
            "fax_number": "317-872-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001095A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.