Active NPI
Erin E Conboy, MD
- Clinical Molecular Genetics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- 01081006A
- Practice address
- 1002 Wishard Blvd
Indianapolis, IN 46202-4163 - Phone
- (317) 944-3966
- Fax
- (317) 968-1354
- NPI assigned
- Jun 25, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Biochemical Genetics Physician | 207SG0202X | 01081006A | IN | |
| Anatomic Pathology Physician | 207ZP0101X | 56509 | MN | |
| Pediatrics Physician | 208000000X | 01081006A | IN | |
| Pediatrics Physician | 208000000X | 56509 | MN | |
| Clinical Molecular Genetics Physician | 207SG0203X | 01081006A | IN | Primary |
Addresses
Primary practice location
1002 Wishard Blvd
Indianapolis, IN 46202-4163
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
550 University Blvd
Indianapolis, IN 46202-5149
Phone (317) 274-3966
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300019325 | Medicaid | IN | |
| 000001226567 | Other | IN | ANTHEM PTAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ECONBOY@direct.iuhealth.org | ||
| Direct Messaging Address | ECONBOY@direct.iuhealth.org | Direct |
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
- Pediatric Medicine
- Education
- Pennsylvania State University College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-2000
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (888) 484-3258
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56509 | MN | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group Riley Specialists, LLC | Pediatrics | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
1002 Wishard Blvd
Ste 1100
Indianapolis, IN 46202
Phone (317) 274-8812
1030 W Michigan St
Ste 3307
Indianapolis, IN 46202
Phone (317) 948-7450
1002 Wishard Blvd
Indianapolis, IN 46202
Phone (317) 692-2300
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
975 W Walnut St
Indianapolis, IN 46202
Phone (317) 274-2241
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
550 University Blvd
Ste 3100
Indianapolis, IN 46202
Phone (317) 962-8851
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
575 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 944-3966
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
1433 N 6TH 12 St
Terre Haute, IN 47807
Interoperability endpoints
- econboy@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1699561480
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1295099240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 WISHARD BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024163",
"telephone_number": "317-944-3966",
"fax_number": "317-968-1354"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 University Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025149",
"country_code": "US",
"telephone_number": "317-274-3966",
"fax_number": "317-278-0936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONBOY",
"first_name": "ERIN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "IN",
"license": "01081006A",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "MN",
"license": "56509",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01081006A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "56509",
"primary": false
},
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "IN",
"license": "01081006A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300019325",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000001226567",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ECONBOY@direct.iuhealth.org",
"affiliation": "N",
"address_1": "550 University Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ECONBOY@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1002 Wishard Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462024163",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 21, 2025; 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.